Stretching and Flexibility by arifahmed224

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									Stretching and Flexibility
    Everything you never wanted to know




by Brad Appleton
                      Version: 1.42, Last Modi ed 98 06 10
Copyright c 1993-1998 by Bradford D. Appleton


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The techniques, ideas, and suggestions in this document are not intended as a substitute for
proper medical advice! Consult your physician or health care professional before performing
any new exercise or exercise technique, particularly if you are pregnant or nursing, or if you
are elderly, or if you have any chronic or recurring conditions. Any application of the
techniques, ideas, and suggestions in this document is at the reader's sole discretion and
risk.
The author and publisher of this document and their employers make no warranty of any
kind in regard to the content of this document, including, but not limited to, any implied
warranties of merchantability, or tness for any particular purpose. The author and pub-
lisher of this document and their employers are not liable or responsible to any person or
entity for any errors contained in this document, or for any special, incidental, or conse-
quential damage caused or alleged to be caused directly or indirectly by the information
contained in this document.
Introduction                                                                                1


Introduction
   This document is a modest attempt to compile a wealth of information in order to
answer some frequently asked questions about stretching and exibility. It is organized into
chapters covering the following topics:
 1. Physiology of Stretching
 2. Flexibility
 3. Types of Stretching
 4. How to Stretch
   Although each chapter may refer to sections in other chapters, it is not required that
you read every chapter in the order presented. It is important, however, that you read the
disclaimer before reading any other sections of this document. See Disclaimer , page 1. If
you wish to skip around, numerous cross references are supplied in each section to help you
 nd the concepts you may have missed. There is also an index at the end of this document.

Disclaimer
    I Brad Appleton - the author of this document do not claim to be any kind of expert
on stretching, anatomy, physiology, or any other biological science. I am merely attempting
to compile information that I have read in books or that has been presented to me by
knowledgeable sources.
    The techniques, ideas, and suggestions in this document are not intended as a substitute
for proper medical advice! Consult your physician or health care professional before per-
forming any new exercise or exercise technique, particularly if you are pregnant or nursing,
or if you are elderly, or if you have any chronic or recurring conditions. Any application
of the techniques, ideas, and suggestions in this document is at the reader's sole discretion
and risk.
    The author and publisher of this document and their employers make no warranty of
any kind in regard to the content of this document, including, but not limited to, any
implied warranties of merchantability, or tness for any particular purpose. The author
and publisher of this document and their employers are not liable or responsible to any
person or entity for any errors contained in this document, or for any special, incidental, or
consequential damage caused or alleged to be caused directly or indirectly by the information
contained in this document.
    In other words: "I'm not a doctor, nor do I play one on TV!" I can not be held liable
for any damages or injuries that you might su er from somehow relying upon information
in this document, no matter how awful. Not even if the information in question is incorrect
or inaccurate. If you have any doubt and even if you don't you should always check with
your doctor before trying any new exercise or exercise technique.
Introduction                                                                                2


Acknowledgements
   Thanks to all the readers of the `rec.martial-arts', `rec.arts.dance' and `misc.fitness'
newsgroups on Usenet who responded to my request for questions and answers on stretch-
ing. Many parts of this document come directly from these respondents. Thanks in
particular to Shawne Neeper for sharing her formidable knowledge of muscle anatomy and
physiology.
   Other portions of this document rely heavily upon the information in the following books:

      Sport Stretch, by Michael J. Alter
         referred to as M. Alter in the rest of this document
      Stretching Scienti cally, by Tom Kurz
          referred to as Kurz in the rest of this document
      SynerStretch For Total Body Flexibility, from Health For Life
         referred to as SynerStretch in the rest of this document
      The Health For Life Training Advisor, also from Health For Life
         referred to as HFLTA in the rest of this document
      Mobility Training for the Martial Arts, by Tony Gummerson
        referred to as Gummerson in the rest of this document

   Further information on these books and others, is available near the end of this document.
See Appendix A References on Stretching , page 41.

About the Author
    I am not any kind of medical or tness professional! I do have over 6 years of martial arts
training, and over 20 years of dance training in classical ballet, modern, and jazz. However,
my primary "quali cations" to write this document are that I took considerable time and
e ort to read several books on the topic, and to combine the information that I read with
the information supplied to me from many knowledgeable readers of Usenet news. I have
tried to write this document for all audiences and not make it speci c to any particular
sport or art such as dancing or martial arts. I have also tried to leave out any of my own
personal opinions or feelings and just state the facts as related to me by the real experts.
    If you have speci c questions or comments about the speci c content of one or more parts
of the stretching FAQ, please email them to me at `mailto:bradapp@enteract.com' .
However, Please do not email me asking for any stretching advice! I am a professional
software developer of programming tools and environments. I simply am not quali ed to
dispense medical or tness advice. You need to seek out a licensed certi ed medical or
 tness professional for that sort of thing. The information I have compiled here comes from
various expert sources, and I certainly learned a lot when I researched the subject, but Im
not an expert myself.
Chapter 1: Physiology of Stretching                                                          3


1 Physiology of Stretching
    The purpose of this chapter is to introduce you to some of the basic physiological concepts
that come into play when a muscle is stretched. Concepts will be introduced initially with
a general overview and then for those who want to know the gory details will be discussed
in further detail. If you aren't all that interested in this aspect of stretching, you can skip
this chapter. Other sections will refer to important concepts from this chapter and you can
easily look them up on a "need to know" basis.

1.1 The Musculoskeletal System
    Together, muscles and bones comprise what is called the musculoskeletal system of the
body. The bones provide posture and structural support for the body and the muscles
provide the body with the ability to move by contracting, and thus generating tension.
The musculoskeletal system also provides protection for the body's internal organs. In order
to serve their function, bones must be joined together by something. The point where bones
connect to one another is called a joint, and this connection is made mostly by ligaments
along with the help of muscles. Muscles are attached to the bone by tendons. Bones,
tendons, and ligaments do not possess the ability as muscles do to make your body move.
Muscles are very unique in this respect.

1.2 Muscle Composition
    Muscles vary in shape and in size, and serve many di erent purposes. Most large muscles,
like the hamstrings and quadriceps, control motion. Other muscles, like the heart, and the
muscles of the inner ear, perform other functions. At the microscopic level however, all
muscles share the same basic structure.
    At the highest level, the whole muscle is composed of many strands of tissue called
fascicles. These are the strands of muscle that we see when we cut red meat or poultry.
Each fascicle is composed of fasciculi which are bundles of muscle bers. The muscle bers
are in turn composed of tens of thousands of thread-like myofybrils, which can contract,
relax, and elongate lengthen. The myofybrils are in turn composed of up to millions
of bands laid end-to-end called sarcomeres. Each sarcomere is made of overlapping thick
and thin laments called myo laments. The thick and thin myo laments are made up of
contractile proteins, primarily actin and myosin.

1.2.1 How Muscles Contract
    The way in which all these various levels of the muscle operate is as follows: Nerves
connect the spinal column to the muscle. The place where the nerve and muscle meet is
called the neuromuscular junction. When an electrical signal crosses the neuromuscular
junction, it is transmitted deep inside the muscle bers. Inside the muscle bers, the signal
stimulates the ow of calcium which causes the thick and thin myo laments to slide across
one another. When this occurs, it causes the sarcomere to shorten, which generates force.
Chapter 1: Physiology of Stretching                                                        4


When billions of sarcomeres in the muscle shorten all at once it results in a contraction of
the entire muscle ber.
   When a muscle ber contracts, it contracts completely. There is no such thing as a
partially contracted muscle ber. Muscle bers are unable to vary the intensity of their
contraction relative to the load against which they are acting. If this is so, then how does
the force of a muscle contraction vary in strength from strong to weak? What happens is
that more muscle bers are recruited, as they are needed, to perform the job at hand. The
more muscle bers that are recruited by the central nervous system, the stronger the force
generated by the muscular contraction.


1.2.2 Fast and Slow Muscle Fibers
   The energy which produces the calcium ow in the muscle bers comes from mitochon-
dria, the part of the muscle cell that converts glucose blood sugar into energy. Di erent
types of muscle bers have di erent amounts of mitochondria. The more mitochondria in a
muscle ber, the more energy it is able to produce. Muscle bers are categorized into slow-
twitch bers and fast-twitch bers. Slow-twitch bers also called Type 1 muscle bers
are slow to contract, but they are also very slow to fatigue. Fast-twitch bers are very
quick to contract and come in two varieties: Type 2A muscle bers which fatigue at an
intermediate rate, and Type 2B muscle bers which fatigue very quickly. The main rea-
son the slow-twitch bers are slow to fatigue is that they contain more mitochondria than
fast-twitch bers and hence are able to produce more energy. Slow-twitch bers are also
smaller in diameter than fast-twitch bers and have increased capillary blood ow around
them. Because they have a smaller diameter and an increased blood ow, the slow-twitch
  bers are able to deliver more oxygen and remove more waste products from the muscle
  bers which decreases their "fatigability".
    These three muscle ber types Types 1, 2A, and 2B are contained in all muscles in
varying amounts. Muscles that need to be contracted much of the time like the heart
have a greater number of Type 1 slow bers. When a muscle rst starts to contract, it is
primarily Type 1 bers that are initially activated, then Type 2A and Type 2B bers are
activated if needed in that order. The fact that muscle bers are recruited in this sequence
is what provides the ability to execute brain commands with such ne-tuned tuned muscle
responses. It also makes the Type 2B bers di cult to train because they are not activated
until most of the Type 1 and Type 2A bers have been recruited.
   HFLTA states that the the best way to remember the di erence between muscles with
predominantly slow-twitch bers and muscles with predominantly fast-twitch bers is to
think of "white meat" and "dark meat". Dark meat is dark because it has a greater
number of slow-twitch muscle bers and hence a greater number of mitochondria, which
are dark. White meat consists mostly of muscle bers which are at rest much of the time
but are frequently called on to engage in brief bouts of intense activity. This muscle tissue
can contract quickly but is fast to fatigue and slow to recover. White meat is lighter in
color than dark meat because it contains fewer mitochondria.
Chapter 1: Physiology of Stretching                                                        5


1.3 Connective Tissue
    Located all around the muscle and its bers are connective tissues. Connective tissue
is composed of a base substance and two kinds of protein based ber. The two types of
  ber are collagenous connective tissue and elastic connective tissue. Collagenous connective
tissue consists mostly of collagen hence its name and provides tensile strength. Elastic
connective tissue consists mostly of elastin and as you might guess from its name provides
elasticity. The base substance is called mucopolysaccharide and acts as both a lubricant
allowing the bers to easily slide over one another, and as a glue holding the bers of the
tissue together into bundles. The more elastic connective tissue there is around a joint,
the greater the range of motion in that joint. Connective tissues are made up of tendons,
ligaments, and the fascial sheaths that envelop, or bind down, muscles into separate groups.
These fascial sheaths, or fascia, are named according to where they are located in the
muscles:
endomysium
           The innermost fascial sheath that envelops individual muscle bers.
perimysium
           The fascial sheath that binds groups of muscle bers into individual fasciculi
           see Section 1.2 Muscle Composition , page 3.
epimysium
           The outermost fascial sheath that binds entire fascicles see Section 1.2 Muscle
           Composition , page 3.
   These connective tissues help provide suppleness and tone to the muscles.

1.4 Cooperating Muscle Groups
   When muscles cause a limb to move through the joint's range of motion, they usually
act in the following cooperating groups:
agonists      These muscles cause the movement to occur. They create the normal range
              of movement in a joint by contracting. Agonists are also referred to as prime
              movers since they are the muscles that are primarily responsible for generating
              the movement.
antagonists
           These muscles act in opposition to the movement generated by the agonists and
           are responsible for returning a limb to its initial position.
synergists These muscles perform, or assist in performing, the same set of joint motion as
           the agonists. Synergists are sometimes referred to as neutralizers because they
           help cancel out, or neutralize, extra motion from the agonists to make sure that
           the force generated works within the desired plane of motion.
 xators These muscles provide the necessary support to assist in holding the rest of the
           body in place while the movement occurs. Fixators are also sometimes called
           stabilizers.
Chapter 1: Physiology of Stretching                                                          6


    As an example, when you ex your knee, your hamstring contracts, and, to some extent,
so does your gastrocnemius calf and lower buttocks. Meanwhile, your quadriceps are
inhibited relaxed and lengthened somewhat so as not to resist the exion see Section 1.6.4
 Reciprocal Inhibition , page 9. In this example, the hamstring serves as the agonist, or
prime mover; the quadricep serves as the antagonist; and the calf and lower buttocks serve as
the synergists. Agonists and antagonists are usually located on opposite sides of the a ected
joint like your hamstrings and quadriceps, or your triceps and biceps, while synergists are
usually located on the same side of the joint near the agonists. Larger muscles often call
upon their smaller neighbors to function as synergists.
    The following is a list of commonly used agonist antagonist muscle pairs:
     pectorals latissimus dorsi pecs and lats
     anterior deltoids posterior deltoids front and back shoulder
     trapezius deltoids traps and delts
     abdominals spinal erectors abs and lower-back
     left and right external obliques sides
     quadriceps hamstrings quads and hams
     shins calves
     biceps triceps
     forearm exors extensors

1.5 Types of Muscle Contractions
    The contraction of a muscle does not necessarily imply that the muscle shortens; it only
means that tension has been generated. Muscles can contract in the following ways:
isometric contraction
            This is a contraction in which no movement takes place, because the load on the
            muscle exceeds the tension generated by the contracting muscle. This occurs
            when a muscle attempts to push or pull an immovable object.
isotonic contraction
            This is a contraction in which movement does take place, because the tension
            generated by the contracting muscle exceeds the load on the muscle. This occurs
            when you use your muscles to successfully push or pull an object.
            Isotonic contractions are further divided into two types:
            concentric contraction
                         This is a contraction in which the muscle decreases in length short-
                         ens against an opposing load, such as lifting a weight up.
            eccentric contraction
                         This is a contraction in which the muscle increases in length length-
                         ens as it resists a load, such as pushing something down.
            During a concentric contraction, the muscles that are shortening serve as the
            agonists and hence do all of the work. During an eccentric contraction the
Chapter 1: Physiology of Stretching                                                         7


            muscles that are lengthening serve as the agonists and do all of the work. See
            Section 1.4 Cooperating Muscle Groups , page 5.

1.6 What Happens When You Stretch
    The stretching of a muscle ber begins with the sarcomere see Section 1.2 Muscle
Composition , page 3, the basic unit of contraction in the muscle ber. As the sarcom-
ere contracts, the area of overlap between the thick and thin myo laments increases. As
it stretches, this area of overlap decreases, allowing the muscle ber to elongate. Once
the muscle ber is at its maximum resting length all the sarcomeres are fully stretched,
additional stretching places force on the surrounding connective tissue see Section 1.3 Con-
nective Tissue , page 5. As the tension increases, the collagen bers in the connective tissue
align themselves along the same line of force as the tension. Hence when you stretch, the
muscle ber is pulled out to its full length sarcomere by sarcomere, and then the connective
tissue takes up the remaining slack. When this occurs, it helps to realign any disorganized
  bers in the direction of the tension. This realignment is what helps to rehabilitate scarred
tissue back to health.
    When a muscle is stretched, some of its bers lengthen, but other bers may remain at
rest. The current length of the entire muscle depends upon the number of stretched bers
similar to the way that the total strength of a contracting muscle depends on the number of
recruited bers contracting. According to SynerStretch you should think of "little pockets
of bers distributed throughout the muscle body stretching, and other bers simply going
along for the ride". The more bers that are stretched, the greater the length developed by
the stretched muscle.

1.6.1 Proprioceptors
   The nerve endings that relay all the information about the musculoskeletal system to the
central nervous system are called proprioceptors. Proprioceptors also called mechanore-
ceptors are the source of all proprioception: the perception of one's own body position and
movement. The proprioceptors detect any changes in physical displacement movement or
position and any changes in tension, or force, within the body. They are found in all nerve
endings of the joints, muscles, and tendons. The proprioceptors related to stretching are
located in the tendons and in the muscle bers.
    There are two kinds of muscle bers: intrafusal muscle bers and extrafusal muscle bers.
Extrafusil bers are the ones that contain myo brils see Section 1.2 Muscle Composition ,
page 3 and are what is usually meant when we talk about muscle bers. Intrafusal bers
are also called muscle spindles and lie parallel to the extrafusal bers. Muscle spindles,
or stretch receptors, are the primary proprioceptors in the muscle. Another proprioceptor
that comes into play during stretching is located in the tendon near the end of the muscle
  ber and is called the golgi tendon organ. A third type of proprioceptor, called a pacinian
corpuscle, is located close to the golgi tendon organ and is responsible for detecting changes
in movement and pressure within the body.
Chapter 1: Physiology of Stretching                                                          8


    When the extrafusal bers of a muscle lengthen, so do the intrafusal bers muscle
spindles. The muscle spindle contains two di erent types of bers or stretch receptors
which are sensitive to the change in muscle length and the rate of change in muscle length.
When muscles contract it places tension on the tendons where the golgi tendon organ is
located. The golgi tendon organ is sensitive to the change in tension and the rate of change
of the tension.

1.6.2 The Stretch Re ex
    When the muscle is stretched, so is the muscle spindle see Section 1.6.1 Proprioceptors ,
page 7. The muscle spindle records the change in length and how fast and sends signals
to the spine which convey this information. This triggers the stretch re ex also called
the myotatic re ex which attempts to resist the change in muscle length by causing the
stretched muscle to contract. The more sudden the change in muscle length, the stronger
the muscle contractions will be plyometric, or "jump", training is based on this fact. This
basic function of the muscle spindle helps to maintain muscle tone and to protect the body
from injury.
    One of the reasons for holding a stretch for a prolonged period of time is that as you hold
the muscle in a stretched position, the muscle spindle habituates becomes accustomed to
the new length and reduces its signaling. Gradually, you can train your stretch receptors
to allow greater lengthening of the muscles.
    Some sources suggest that with extensive training, the stretch re ex of certain muscles
can be controlled so that there is little or no re ex contraction in response to a sudden
stretch. While this type of control provides the opportunity for the greatest gains in ex-
ibility, it also provides the greatest risk of injury if used improperly. Only consummate
professional athletes and dancers at the top of their sport or art are believed to actually
possess this level of muscular control.

1.6.2.1 Components of the Stretch Re ex
    The stretch re ex has both a dynamic component and a static component. The static
component of the stretch re ex persists as long as the muscle is being stretched. The
dynamic component of the stretch re ex which can be very powerful lasts for only a
moment and is in response to the initial sudden increase in muscle length. The reason that
the stretch re ex has two components is because there are actually two kinds of intrafusal
muscle bers: nuclear chain bers, which are responsible for the static component; and
nuclear bag bers, which are responsible for the dynamic component.
    Nuclear chain bers are long and thin, and lengthen steadily when stretched. When
these bers are stretched, the stretch re ex nerves increase their ring rates signaling as
their length steadily increases. This is the static component of the stretch re ex.
    Nuclear bag bers bulge out at the middle, where they are the most elastic. The stretch-
sensing nerve ending for these bers is wrapped around this middle area, which lengthens
rapidly when the ber is stretched. The outer-middle areas, in contrast, act like they are
 lled with viscous uid; they resist fast stretching, then gradually extend under prolonged
Chapter 1: Physiology of Stretching                                                         9


tension. So, when a fast stretch is demanded of these bers, the middle takes most of the
stretch at rst; then, as the outer-middle parts extend, the middle can shorten somewhat.
So the nerve that senses stretching in these bers res rapidly with the onset of a fast
stretch, then slows as the middle section of the ber is allowed to shorten again. This is
the dynamic component of the stretch re ex: a strong signal to contract at the onset of a
rapid increase in muscle length, followed by slightly "higher than normal" signaling which
gradually decreases as the rate of change of the muscle length decreases.

1.6.3 The Lengthening Reaction
    When muscles contract possibly due to the stretch re ex, they produce tension at the
point where the muscle is connected to the tendon, where the golgi tendon organ is located.
The golgi tendon organ records the change in tension, and the rate of change of the tension,
and sends signals to the spine to convey this information see Section 1.6.1 Proprioceptors ,
page 7. When this tension exceeds a certain threshold, it triggers the lengthening reaction
which inhibits the muscles from contracting and causes them to relax. Other names for
this re ex are the inverse myotatic re ex, autogenic inhibition, and the clasped-knife re ex.
This basic function of the golgi tendon organ helps to protect the muscles, tendons, and
ligaments from injury. The lengthening reaction is possible only because the signaling of
golgi tendon organ to the spinal cord is powerful enough to overcome the signaling of the
muscle spindles telling the muscle to contract.
    Another reason for holding a stretch for a prolonged period of time is to allow this
lengthening reaction to occur, thus helping the stretched muscles to relax. It is easier to
stretch, or lengthen, a muscle when it is not trying to contract.

1.6.4 Reciprocal Inhibition
    When an agonist contracts, in order to cause the desired motion, it usually forces the an-
tagonists to relax see Section 1.4 Cooperating Muscle Groups , page 5. This phenomenon
is called reciprocal inhibition because the antagonists are inhibited from contracting. This
is sometimes called reciprocal innervation but that term is really a misnomer since it is the
agonists which inhibit relax the antagonists. The antagonists do not actually innervate
cause the contraction of the agonists.
    Such inhibition of the antagonistic muscles is not necessarily required. In fact, co-
contraction can occur. When you perform a sit-up, one would normally assume that the
stomach muscles inhibit the contraction of the muscles in the lumbar, or lower, region of the
back. In this particular instance however, the back muscles spinal erectors also contract.
This is one reason why sit-ups are good for strengthening the back as well as the stomach.
    When stretching, it is easier to stretch a muscle that is relaxed than to stretch a muscle
that is contracting. By taking advantage of the situations when reciprocal inhibition does
occur, you can get a more e ective stretch by inducing the antagonists to relax during the
stretch due to the contraction of the agonists. You also want to relax any muscles used as
synergists by the muscle you are trying to stretch. For example, when you stretch your calf,
you want to contract the shin muscles the antagonists of the calf by exing your foot.
Chapter 1: Physiology of Stretching                                                      10


However, the hamstrings use the calf as a synergist so you want to also relax the hamstrings
by contracting the quadricep i.e., keeping your leg straight.
Chapter 2: Flexibility                                                                      11


2 Flexibility
    Flexibility is de ned by Gummerson as "the absolute range of movement in a joint or
series of joints that is attainable in a momentary e ort with the help of a partner or a
piece of equipment." This de nition tells us that exibility is not something general but is
speci c to a particular joint or set of joints. In other words, it is a myth that some people
are innately exible throughout their entire body. Being exible in one particular area or
joint does not necessarily imply being exible in another. Being "loose" in the upper body
does not mean you will have a "loose" lower body. Furthermore, according to SynerStretch,
  exibility in a joint is also "speci c to the action performed at the joint the ability to do
front splits doesn't imply the ability to do side splits even though both actions occur at the
hip."

2.1 Types of Flexibility
   Many people are unaware of the fact that there are di erent types of exibility. These
di erent types of exibility are grouped according to the various types of activities involved
in athletic training. The ones which involve motion are called dynamic and the ones which
do not are called static. The di erent types of exibility according to Kurz are:
dynamic exibility
             Dynamic exibility also called kinetic exibility is the ability to perform dy-
             namic or kinetic movements of the muscles to bring a limb through its full
             range of motion in the joints.
static-active exibility
             Static-active exibility also called active exibility is the ability to assume
             and maintain extended positions using only the tension of the agonists and
             synergists while the antagonists are being stretched see Section 1.4 Cooperat-
             ing Muscle Groups , page 5. For example, lifting the leg and keeping it high
             without any external support other than from your own leg muscles.
static-passive exibility
             Static-passive exibility also called passive exibility is the ability to assume
             extended positions and then maintain them using only your weight, the support
             of your limbs, or some other apparatus such as a chair or a barre. Note that
             the ability to maintain the position does not come solely from your muscles,
             as it does with static-active exibility. Being able to perform the splits is an
             example of static-passive exibility.
   Research has shown that active exibility is more closely related to the level of sports
achievement than is passive exibility. Active exibility is harder to develop than passive
 exibility which is what most people think of as " exibility"; not only does active exibility
require passive exibility in order to assume an initial extended position, it also requires
muscle strength to be able to hold and maintain that position.
Chapter 2: Flexibility                                                                     12


2.2 Factors Limiting Flexibility
   According to Gummerson, exibility he uses the term mobility is a ected by the fol-
lowing factors:
    Internal in uences
     , the type of joint some joints simply aren't meant to be exible
     , the internal resistance within a joint
     , bony structures which limit movement
     , the elasticity of muscle tissue muscle tissue that is scarred due to a previous injury
         is not very elastic
     , the elasticity of tendons and ligaments ligaments do not stretch much and tendons
         should not stretch at all
     , the elasticity of skin skin actually has some degree of elasticity, but not much
     , the ability of a muscle to relax and contract to achieve the greatest range of
         movement
     , the temperature of the joint and associated tissues joints and muscles o er better
           exibility at body temperatures that are 1 to 2 degrees higher than normal
    External in uences
     , the temperature of the place where one is training a warmer temperature is more
         conducive to increased exibility
     , the time of day most people are more exible in the afternoon than in the morning,
         peaking from about 2:30pm-4pm
     , the stage in the recovery process of a joint or muscle after injury injured joints
         and muscles will usually o er a lesser degree of exibility than healthy ones
     , age pre-adolescents are generally more exible than adults
     , gender females are generally more exible than males
     , one's ability to perform a particular exercise practice makes perfect
     , one's commitment to achieving exibility
     , the restrictions of any clothing or equipment
   Some sources also the suggest that water is an important dietary element with regard
to exibility. Increased water intake is believed to contribute to increased mobility, as well
as increased total body relaxation.
    Rather than discuss each of these factors in signi cant detail as Gummerson does, I
will attempt to focus on some of the more common factors which limit one's exibility.
According to SynerStretch, the most common factors are: bone structure, muscle mass,
excess fatty tissue, and connective tissue and, of course, physical injury or disability.
    Depending on the type of joint involved and its present condition is it healthy?, the
bone structure of a particular joint places very noticeable limits on exibility. This is a
common way in which age can be a factor limiting exibility since older joints tend not to
be as healthy as younger ones.
Chapter 2: Flexibility                                                                        13


   Muscle mass can be a factor when the muscle is so heavily developed that it interferes
with the ability to take the adjacent joints through their complete range of motion for
example, large hamstrings limit the ability to fully bend the knees. Excess fatty tissue
imposes a similar restriction.
   The majority of " exibility" work should involve performing exercises designed to reduce
the internal resistance o ered by soft connective tissues see Section 1.3 Connective Tissue ,
page 5. Most stretching exercises attempt to accomplish this goal and can be performed
by almost anyone, regardless of age or gender.
2.2.1 How Connective Tissue A ects Flexibility
    The resistance to lengthening that is o ered by a muscle is dependent upon its connective
tissues: When the muscle elongates, the surrounding connective tissues become more taut
see Section 1.3 Connective Tissue , page 5. Also, inactivity of certain muscles or joints can
cause chemical changes in connective tissue which restrict exibility. According to M. Alter,
each type of tissue plays a certain role in joint sti ness: "The joint capsule i.e., the saclike
structure that encloses the ends of bones and ligaments are the most important factors,
accounting for 47 percent of the sti ness, followed by the muscle's fascia 41 percent, the
tendons 10 percent, and skin 2 percent".
    M. Alter goes on to say that e orts to increase exibility should be directed at the
muscle's fascia however. This is because it has the most elastic tissue, and because ligaments
and tendons since they have less elastic tissue are not intended to stretched very much at
all. Overstretching them may weaken the joint's integrity and cause destabilization which
increases the risk of injury.
    When connective tissue is overused, the tissue becomes fatigued and may tear, which
also limits exibility. When connective tissue is unused or under used, it provides signi cant
resistance and limits exibility. The elastin begins to fray and loses some of its elasticity,
and the collagen increases in sti ness and in density. Aging has some of the same e ects on
connective tissue that lack of use has.
2.2.2 How Aging A ects Flexibility
    With appropriate training, exibility can, and should, be developed at all ages. This
does not imply, however, that exibility can be developed at the same rate by everyone. In
general, the older you are, the longer it will take to develop the desired level of exibility.
Hopefully, you'll be more patient if you're older.
    According to M. Alter, the main reason we become less exible as we get older is a
result of certain changes that take place in our connective tissues. As we age, our bodies
gradually dehydrate to some extent. It is believed that "stretching stimulates the production
or retention of lubricants between the connective tissue bers, thus preventing the formation
of adhesions". Hence, exercise can delay some of the loss of exibility that occurs due to
the aging process.
    M. Alter further states that some of the physical changes attributed to aging are the
following:
Chapter 2: Flexibility                                                                      14


    An increased amount of calcium deposits, adhesions, and cross-links in the body
    An increase in the level of fragmentation and dehydration
    Changes in the chemical structure of the tissues.
    Loss of suppleness due to the replacement of muscle bers with fatty, collagenous bers.
    This does not mean that you should give up trying to achieve exibility if you are old
or in exible. It just means that you need to work harder, and more carefully, for a longer
period of time when attempting to increase exibility. Increases in the ability of muscle
tissues and connective tissues to elongate stretch can be achieved at any age.

2.3 Strength and Flexibility
   Strength training and exibility training should go hand in hand. It is a common miscon-
ception that there must always be a trade-o between exibility and strength. Obviously, if
you neglect exibility training altogether in order to train for strength then you are certainly
sacri cing exibility and vice versa. However, performing exercises for both strength and
 exibility need not sacri ce either one. As a matter of fact, exibility training and strength
training can actually enhance one another.

2.3.1 Why Bodybuilders Should Stretch
    One of the best times to stretch is right after a strength workout such as weightlifting.
Static stretching of fatigued muscles see Section 3.5 Static Stretching , page 18 performed
immediately following the exercises that caused the fatigue, helps not only to increase
  exibility, but also enhances the promotion of muscular development muscle growth, and
will actually help decrease the level of post-exercise soreness. Here's why:
    After you have used weights or other means to overload and fatigue your muscles, your
muscles retain a "pump" and are shortened somewhat. This "shortening" is due mostly to
the repetition of intense muscle activity that often only takes the muscle through part of its
full range of motion. This "pump" makes the muscle appear bigger. The "pumped" muscle
is also full of lactic acid and other by-products from exhaustive exercise. If the muscle is
not stretched afterward, it will retain this decreased range of motion it sort of "forgets"
how to make itself as long as it could and the buildup of lactic acid will cause post-exercise
soreness. Static stretching of the "pumped" muscle helps it to become "looser", and to
"remember" its full range of movement. It also helps to remove lactic acid and other waste-
products from the muscle. While it is true that stretching the "pumped" muscle will make
it appear visibly smaller, it does not decrease the muscle's size or inhibit muscle growth. It
merely reduces the "tightness" contraction of the muscles so that they do not "bulge" as
much.
    Also, strenuous workouts will often cause damage to the muscle's connective tissue.
The tissue heals in 1 to 2 days but it is believed that the tissues heal at a shorter length
decreasing muscular development as well as exibility. To prevent the tissues from healing
at a shorter length, physiologists recommend static stretching after strength workouts.
Chapter 2: Flexibility                                                                      15


2.3.2 Why Contortionists Should Strengthen
    You should be "tempering" or balancing your exibility training with strength training
and vice versa. Do not perform stretching exercises for a given muscle group without
also performing strength exercises for that same group of muscles. Judy Alter, in her book
Stretch and Strengthen, recommends stretching muscles after performing strength exercises,
and performing strength exercises for every muscle you stretch. In other words: "Strengthen
what you stretch, and stretch after you strengthen!"
    The reason for this is that exibility training on a regular basis causes connective tissues
to stretch which in turn causes them to loosen become less taut and elongate. When
the connective tissue of a muscle is weak, it is more likely to become damaged due to
overstretching, or sudden, powerful muscular contractions. The likelihood of such injury can
be prevented by strengthening the muscles bound by the connective tissue. Kurz suggests
dynamic strength training consisting of light dynamic exercises with weights lots of reps,
not too much weight, and isometric tension exercises. If you also lift weights, dynamic
strength training for a muscle should occur before subjecting that muscle to an intense
weightlifting workout. This helps to pre-exhaust the muscle rst, making it easier and
faster to achieve the desired overload in an intense strength workout. Attempting to
perform dynamic strength training after an intense weightlifting workout would be largely
ine ective.
    If you are working on increasing or maintaining exibility then it is very important
that your strength exercises force your muscles to take the joints through their full range
of motion. According to Kurz, Repeating movements that do not employ a full range of
motion in the joints like cycling, certain weightlifting techniques, and pushups can cause
of shortening of the muscles surrounding the joints. This is because the nervous control of
length and tension in the muscles are set at what is repeated most strongly and or most
frequently.

2.4 Over exibility
   It is possible for the muscles of a joint to become too exible. According to SynerStretch,
there is a tradeo between exibility and stability. As you get "looser" or more limber in
a particular joint, less support is given to the joint by its surrounding muscles. Excessive
 exibility can be just as bad as not enough because both increase your risk of injury.
   Once a muscle has reached its absolute maximum length, attempting to stretch the
muscle further only serves to stretch the ligaments and put undue stress upon the tendons
two things that you do not want to stretch. Ligaments will tear when stretched more
than 6 of their normal length. Tendons are not even supposed to be able to lengthen.
Even when stretched ligaments and tendons do not tear, loose joints and or a decrease in
the joint's stability can occur thus vastly increasing your risk of injury.
   Once you have achieved the desired level of exibility for a muscle or set of muscles
and have maintained that level for a solid week, you should discontinue any isometric or
PNF stretching of that muscle until some of its exibility is lost see Section 3.6 Isometric
Stretching , page 19, and see Section 3.7 PNF Stretching , page 20.
Chapter 2: Flexibility   16
Chapter 3: Types of Stretching                                                               17


3 Types of Stretching
   Just as there are di erent types of exibility, there are also di erent types of stretching.
Stretches are either dynamic meaning they involve motion or static meaning they involve
no motion. Dynamic stretches a ect dynamic exibility and static stretches a ect static
 exibility and dynamic exibility to some degree.
   The di erent types of stretching are:
 1. ballistic stretching
 2. dynamic stretching
 3. active stretching
 4. passive or relaxed stretching
 5. static stretching
 6. isometric stretching
 7. PNF stretching

3.1 Ballistic Stretching
    Ballistic stretching uses the momentum of a moving body or a limb in an attempt to force
it beyond its normal range of motion. This is stretching, or "warming up", by bouncing into
or out of a stretched position, using the stretched muscles as a spring which pulls you out
of the stretched position. e.g. bouncing down repeatedly to touch your toes. This type
of stretching is not considered useful and can lead to injury. It does not allow your muscles
to adjust to, and relax in, the stretched position. It may instead cause them to tighten up
by repeatedly activating the stretch re ex see Section 1.6.2 The Stretch Re ex , page 8.

3.2 Dynamic Stretching
    Dynamic stretching, according to Kurz, "involves moving parts of your body and gradu-
ally increasing reach, speed of movement, or both." Do not confuse dynamic stretching with
ballistic stretching! Dynamic stretching consists of controlled leg and arm swings that take
you gently! to the limits of your range of motion. Ballistic stretches involve trying to force
a part of the body beyond its range of motion. In dynamic stretches, there are no bounces
or "jerky" movements. An example of dynamic stretching would be slow, controlled leg
swings, arm swings, or torso twists.
    Dynamic stretching improves dynamic exibility and is quite useful as part of your warm-
up for an active or aerobic workout such as a dance or martial-arts class. See Section 4.1
 Warming Up , page 25.
    According to Kurz, dynamic stretching exercises should be performed in sets of 8-12
repetitions. Be sure to stop when and if you feel tired. Tired muscles have less elasticity
which decreases the range of motion used in your movements. Continuing to exercise when
you are tired serves only to reset the nervous control of your muscle length at the reduced
range of motion used in the exercise and will cause a loss of exibility. Once you attain a
Chapter 3: Types of Stretching                                                               18


maximal range of motion for a joint in any direction you should stop doing that movement
during that workout. Tired and overworked muscles won't attain a full range of motion
and the muscle's kinesthetic memory will remember the repeated shorted range of motion,
which you will then have to overcome before you can make further progress.

3.3 Active Stretching
   Active stretching is also referred to as static-active stretching. An active stretch is one
where you assume a position and then hold it there with no assistance other than using the
strength of your agonist muscles see Section 1.4 Cooperating Muscle Groups , page 5.
For example, bringing your leg up high and then holding it there without anything other
than your leg muscles themselves to keep the leg in that extended position. The tension of
the agonists in an active stretch helps to relax the muscles being stretched the antagonists
by reciprocal inhibition see Section 1.6.4 Reciprocal Inhibition , page 9.
   Active stretching increases active exibility and strengthens the agonistic muscles. Ac-
tive stretches are usually quite di cult to hold and maintain for more than 10 seconds and
rarely need to be held any longer than 15 seconds.
   Many of the movements or stretches found in various forms of yoga are active stretches.

3.4 Passive Stretching
    Passive stretching is also referred to as relaxed stretching, and as static-passive stretch-
ing. A passive stretch is one where you assume a position and hold it with some other part
of your body, or with the assistance of a partner or some other apparatus. For example,
bringing your leg up high and then holding it there with your hand. The splits is an example
of a passive stretch in this case the oor is the "apparatus" that you use to maintain your
extended position.
    Slow, relaxed stretching is useful in relieving spasms in muscles that are healing after an
injury. Obviously, you should check with your doctor rst to see if it is okay to attempt to
stretch the injured muscles see Section 4.12 Pain and Discomfort , page 35.
    Relaxed stretching is also very good for "cooling down" after a workout and helps reduce
post-workout muscle fatigue, and soreness. See Section 4.2 Cooling Down , page 28.

3.5 Static Stretching
   Many people use the term "passive stretching" and "static stretching" interchangeably.
However, there are a number of people who make a distinction between the two. According
to M. Alter, Static stretching consists of stretching a muscle or group of muscles to its
farthest point and then maintaining or holding that position, whereas Passive stretching
consists of a relaxed person who is relaxed passive while some external force either a
person or an apparatus brings the joint through its range of motion.
   Notice that the de nition of passive stretching given in the previous section encompasses
both of the above de nitions. Throughout this document, when the term static stretching
Chapter 3: Types of Stretching                                                             19


or passive stretching is used, its intended meaning is the de nition of passive stretching
as described in the previous section. You should be aware of these alternative meanings,
however, when looking at other references on stretching.

3.6 Isometric Stretching
    Isometric stretching is a type of static stretching meaning it does not use motion
which involves the resistance of muscle groups through isometric contractions tensing
of the stretched muscles see Section 1.5 Types of Muscle Contractions , page 6. The
use of isometric stretching is one of the fastest ways to develop increased static-passive
  exibility and is much more e ective than either passive stretching or active stretching
alone. Isometric stretches also help to develop strength in the "tensed" muscles which
helps to develop static-active exibility, and seems to decrease the amount of pain usually
associated with stretching.
    The most common ways to provide the needed resistance for an isometric stretch are to
apply resistance manually to one's own limbs, to have a partner apply the resistance, or to
use an apparatus such as a wall or the oor to provide resistance.
    An example of manual resistance would be holding onto the ball of your foot to keep it
from exing while you are using the muscles of your calf to try and straighten your instep
so that the toes are pointed.
    An example of using a partner to provide resistance would be having a partner hold
your leg up high and keep it there while you attempt to force your leg back down to the
ground.
    An example of using the wall to provide resistance would be the well known "push-the-
wall" calf-stretch where you are actively attempting to move the wall even though you
know you can't.
    Isometric stretching is not recommended for children and adolescents whose bones are
still growing. These people are usually already exible enough that the strong stretches
produced by the isometric contraction have a much higher risk of damaging tendons and
connective tissue. Kurz strongly recommends preceding any isometric stretch of a muscle
with dynamic strength training for the muscle to be stretched. A full session of isometric
stretching makes a lot of demands on the muscles being stretched and should not be per-
formed more than once per day for a given group of muscles ideally, no more than once
every 36 hours.
    The proper way to perform an isometric stretch is as follows:
  1. Assume the position of a passive stretch for the desired muscle.
  2. Next, tense the stretched muscle for 7-15 seconds resisting against some force that will
      not move, like the oor or a partner.
  3. Finally, relax the muscle for at least 20 seconds.
    Some people seem to recommend holding the isometric contraction for longer than 15
seconds, but according to SynerStretch the videotape, research has shown that this is not
necessary. So you might as well make your stretching routine less time consuming.
Chapter 3: Types of Stretching                                                               20


3.6.1 How Isometric Stretching Works
    Recall from our previous discussion see Section 1.2.1 How Muscles Contract , page 3
that there is no such thing as a partially contracted muscle ber: when a muscle is con-
tracted, some of the bers contract and some remain at rest more bers are recruited as
the load on the muscle increases. Similarly, when a muscle is stretched, some of the bers
are elongated and some remain at rest see Section 1.6 What Happens When You Stretch ,
page 7. During an isometric contraction, some of the resting bers are being pulled upon
from both ends by the muscles that are contracting. The result is that some of those resting
  bers stretch!
    Normally, the handful of bers that stretch during an isometric contraction are not very
signi cant. The true e ectiveness of the isometric contraction occurs when a muscle that
is already in a stretched position is subjected to an isometric contraction. In this case,
some of the muscle bers are already stretched before the contraction, and, if held long
enough, the initial passive stretch overcomes the stretch re ex see Section 1.6.2 The Stretch
Re ex , page 8 and triggers the lengthening reaction see Section 1.6.3 The Lengthening
Reaction , page 9, inhibiting the stretched bers from contracting. At this point, according
to SynerStretch, when you isometrically contracted, some resting bers would contract and
some resting bers would stretch. Furthermore, many of the bers already stretching may
be prevented from contracting by the inverse myotatic re ex the lengthening reaction and
would stretch even more. When the isometric contraction is completed, the contracting
  bers return to their resting length but the stretched bers would remember their stretched
length and for a period of time retain the ability to elongate past their previous limit. This
enables the entire muscle to stretch beyonds its initial maximum and results in increased
  exibility.
    The reason that the stretched bers develop and retain the ability to stretch beyond their
normal limit during an isometric stretch has to do with the muscle spindles see Section 1.6.1
 Proprioceptors , page 7: The signal which tells the muscle to contract voluntarily, also
tells the muscle spindle's intrafusal muscle bers to shorten, increasing sensitivity of the
stretch re ex. This mechanism normally maintains the sensitivity of the muscle spindle
as the muscle shortens during contraction. This allows the muscle spindles to habituate
become accustomed to an even further-lengthened position.

3.7 PNF Stretching
   PNF stretching is currently the fastest and most e ective way known to increase static-
passive exibility. PNF is an acronym for proprioceptive neuromuscular facilitation. It
is not really a type of stretching but is a technique of combining passive stretching see
Section 3.4 Passive Stretching , page 18 and isometric stretching see Section 3.6 Isometric
Stretching , page 19 in order to achieve maximum static exibility. Actually, the term PNF
stretching is itself a misnomer. PNF was initially developed as a method of rehabilitating
stroke victims. PNF refers to any of several post-isometric relaxation stretching techniques
in which a muscle group is passively stretched, then contracts isometrically against resistance
while in the stretched position, and then is passively stretched again through the resulting
increased range of motion. PNF stretching usually employs the use of a partner to provide
Chapter 3: Types of Stretching                                                                21


resistance against the isometric contraction and then later to passively take the joint through
its increased range of motion. It may be performed, however, without a partner, although
it is usually more e ective with a partner's assistance.
    Most PNF stretching techniques employ isometric agonist contraction relaxation where
the stretched muscles are contracted isometrically and then relaxed. Some PNF techniques
also employ isometric antagonist contraction where the antagonists of the stretched muscles
are contracted. In all cases, it is important to note that the stretched muscle should be
rested and relaxed for at least 20 seconds before performing another PNF technique. The
most common PNF stretching techniques are:
the hold-relax
              This technique is also called the contract-relax. After assuming an initial passive
              stretch, the muscle being stretched is isometrically contracted for 7-15 seconds,
              after which the muscle is brie y relaxed for 2-3 seconds, and then immediately
              subjected to a passive stretch which stretches the muscle even further than the
              initial passive stretch. This nal passive stretch is held for 10-15 seconds. The
              muscle is then relaxed for 20 seconds before performing another PNF technique.
the hold-relax-contract
              This technique is also called the contract-relax-contract, and the contract-relax-
              antagonist-contract or CRAC. It involves performing two isometric contrac-
              tions: rst of the agonists, then, of the antagonists. The rst part is similar
              to the hold-relax where, after assuming an initial passive stretch, the stretched
              muscle is isometrically contracted for 7-15 seconds. Then the muscle is relaxed
              while its antagonist immediately performs an isometric contraction that is held
              for 7-15 seconds. The muscles are then relaxed for 20 seconds before performing
              another PNF technique.
the hold-relax-swing
              This technique and a similar technique called the hold-relax-bounce actually
              involves the use of dynamic or ballistic stretches in conjunction with static and
              isometric stretches. It is very risky, and is successfully used only by the most
              advanced of athletes and dancers that have managed to achieve a high level of
              control over their muscle stretch re ex see Section 1.6.2 The Stretch Re ex ,
              page 8. It is similar to the hold-relax technique except that a dynamic or
              ballistic stretch is employed in place of the nal passive stretch.
    Notice that in the hold-relax-contract, there is no nal passive stretch. It is replaced
by the antagonist-contraction which, via reciprocal inhibition see Section 1.6.4 Reciprocal
Inhibition , page 9, serves to relax and further stretch the muscle that was subjected to
the initial passive stretch. Because there is no nal passive stretch, this PNF technique is
considered one of the safest PNF techniques to perform it is less likely to result in torn
muscle tissue. Some people like to make the technique even more intense by adding the
  nal passive stretch after the second isometric contraction. Although this can result in
greater exibility gains, it also increases the likelihood of injury.
    Even more risky are dynamic and ballistic PNF stretching techniques like the hold-
relax-swing, and the hold-relax-bounce. If you are not a professional athlete or dancer,
Chapter 3: Types of Stretching                                                               22


you probably have no business attempting either of these techniques the likelihood of
injury is just too great. Even professionals should not attempt these techniques without
the guidance of a professional coach or training advisor. These two techniques have the
greatest potential for rapid exibility gains, but only when performed by people who have a
su ciently high level of control of the stretch re ex in the muscles that are being stretched.
    Like isometric stretching see Section 3.6 Isometric Stretching , page 19, PNF stretching
is also not recommended for children and people whose bones are still growing for the same
reasons. Also like isometric stretching, PNF stretching helps strengthen the muscles that are
contracted and therefore is good for increasing active exibility as well as passive exibility.
Furthermore, as with isometric stretching, PNF stretching is very strenuous and should be
performed for a given muscle group no more than once per day ideally, no more than once
per 36 hour period.
    The initial recommended procedure for PNF stretching is to perform the desired PNF
technique 3-5 times for a given muscle group resting 20 seconds between each repetition.
However, HFLTA cites a 1987 study whose results suggest that performing 3-5 repetitions
of a PNF technique for a given muscle group is not necessarily any more e ective than
performing the technique only once. As a result, in order to decrease the amount of time
taken up by your stretching routine without decreasing its e ectiveness, HFLTA recom-
mends performing only one PNF technique per muscle group stretched in a given stretching
session.

3.7.1 How PNF Stretching Works
   Remember that during an isometric stretch, when the muscle performing the isometric
contraction is relaxed, it retains its ability to stretch beyond its initial maximum length see
Section 3.6.1 How Isometric Stretching Works , page 20. Well, PNF tries to take immediate
advantage of this increased range of motion by immediately subjecting the contracted muscle
to a passive stretch.
   The isometric contraction of the stretched muscle accomplishes several things:
 1. As explained previously see Section 3.6.1 How Isometric Stretching Works , page 20,
     it helps to train the stretch receptors of the muscle spindle to immediately accommodate
     a greater muscle length.
 2. The intense muscle contraction, and the fact that it is maintained for a period of
     time, serves to fatigue many of the fast-twitch bers of the contracting muscles see
     Section 1.2.2 Fast and Slow Muscle Fibers , page 4. This makes it harder for the
     fatigued muscle bers to contract in resistance to a subsequent stretch see Section 1.6.2
      The Stretch Re ex , page 8.
 3. The tension generated by the contraction activates the golgi tendon organ see Sec-
     tion 1.6.1 Proprioceptors , page 7, which inhibits contraction of the muscle via the
     lengthening reaction see Section 1.6.3 The Lengthening Reaction , page 9. Voluntary
     contraction during a stretch increases tension on the muscle, activating the golgi tendon
     organs more than the stretch alone. So, when the voluntary contraction is stopped, the
     muscle is even more inhibited from contracting against a subsequent stretch.
Chapter 3: Types of Stretching                                                       23


   PNF stretching techniques take advantage of the sudden "vulnerability" of the muscle
and its increased range of motion by using the period of time immediately following the
isometric contraction to train the stretch receptors to get used to this new, increased,
range of muscle length. This is what the nal passive or in some cases, dynamic stretch
accomplishes.
Chapter 3: Types of Stretching   24
Chapter 4: How to Stretch                                                               25


4 How to Stretch
   When done properly, stretching can do more than just increase exibility. According to
M. Alter, bene ts of stretching include:
     enhanced physical tness
     enhanced ability to learn and perform skilled movements
     increased mental and physical relaxation
     enhanced development of body awareness
     reduced risk of injury to joints, muscles, and tendons
     reduced muscular soreness
     reduced muscular tension
     increased suppleness due to stimulation of the production of chemicals which lubricate
     connective tissues see Section 1.3 Connective Tissue , page 5
     reduced severity of painful menstruation dysmenorrhea in females
   Unfortunately, even those who stretch do not always stretch properly and hence do not
reap some or all of these bene ts. Some of the most common mistakes made when stretching
are:
     improper warm-up
     inadequate rest between workouts
     overstretching
     performing the wrong exercises
     performing exercises in the wrong or sub-optimal sequence
   In this chapter, we will try to show you how to avoid these problems, and others, and
present some of the most e ective methods for realizing all the bene ts of stretching.

4.1 Warming Up
   Stretching is not warming up! It is, however, a very important part of warming up.
Warming up is quite literally the process of "warming up" i.e., raising your core body
temperature. A proper warm-up should raise your body temperature by one or two degrees
Celsius 1.4 to 2.8 degrees Fahrenheit and is divided into three phases:
 1. general warm-up
 2. stretching
 3. sport-speci c activity
   It is very important that you perform the general warm-up before you stretch. It is
not a good idea to attempt to stretch before your muscles are warm something which the
general warm-up accomplishes.
   Warming up can do more than just loosen sti muscles; when done properly, it can
actually improve performance. On the other hand, an improper warm-up, or no warm-up
at all, can greatly increase your risk of injury from engaging in athletic activities.
Chapter 4: How to Stretch                                                                   26


   It is important to note that active stretches and isometric stretches should not be part
of your warm-up because they are often counterproductive. The goals of the warm-up are
according to Kurz: "an increased awareness, improved coordination, improved elasticity
and contractibility of muscles, and a greater e ciency of the respiratory and cardiovascular
systems." Active stretches and isometric stretches do not help achieve these goals because
they are likely to cause the stretched muscles to be too tired to properly perform the athletic
activity for which you are preparing your body.
4.1.1 General Warm-Up
   The general warm-up is divided into two parts:
 1. joint rotations
 2. aerobic activity
   These two activities should be performed in the order speci ed above.
4.1.1.1 Joint Rotations
    The general warm-up should begin with joint-rotations, starting either from your toes
and working your way up, or from your ngers and working your way down. This facilitates
joint motion by lubricating the entire joint with synovial uid. Such lubrication permits
your joints to function more easily when called upon to participate in your athletic activity.
You should perform slow circular movements, both clockwise and counter-clockwise, until
the joint seems to move smoothly. You should rotate the following in the order given, or
in the reverse order:
 1. ngers and knuckles
 2. wrists
 3. elbows
 4. shoulders
 5. neck
 6. trunk waist
 7. hips
 8. legs
 9. knees
10. ankles
11. toes
4.1.1.2 Aerobic Activity
    After you have performed the joint rotations, you should engage in at least ve minutes
of aerobic activity such as jogging, jumping rope, or any other activity that will cause a
similar increase in your cardiovascular output i.e., get your blood pumping. The purpose
of this is to raise your core body temperature and get your blood owing. Increased blood
Chapter 4: How to Stretch                                                                 27


 ow in the muscles improves muscle performance and exibility and reduces the likelihood
of injury.

4.1.2 Warm-Up Stretching
   The stretching phase of your warmup should consist of two parts:
 1. static stretching
 2. dynamic stretching
   It is important that static stretches be performed before any dynamic stretches in your
warm-up. Dynamic stretching can often result in overstretching, which damages the muscles
see Section 4.12.3 Overstretching , page 37. Performing static stretches rst will help
reduce this risk of injury.

4.1.2.1 Static Warm-Up Stretching
    Once the general warm-up has been completed, the muscles are warmer and more elastic.
Immediately following your general warm-up, you should engage in some slow, relaxed, static
stretching see Section 3.5 Static Stretching , page 18. You should start with your back,
followed by your upper body and lower body, stretching your muscles in the following order
see Section 4.8 Exercise Order , page 33:
 1. back
 2. sides external obliques
 3. neck
 4. forearms and wrists
 5. triceps
 6. chest
 7. buttocks
 8. groin adductors
 9. thighs quadriceps and abductors
10. calves
11. shins
12. hamstrings
13. instep
   Some good static stretches for these various muscles may be found in most books about
stretching. See Appendix A References on Stretching , page 41. Unfortunately, not every-
one has the time to stretch all these muscles before a workout. If you are one such person,
you should at least take the time to stretch all the muscles that will be heavily used during
your workout.
Chapter 4: How to Stretch                                                                  28


4.1.2.2 Dynamic Warm-Up Stretching
    Once you have performed your static stretches, you should engage in some light dynamic
stretching: leg-raises, and arm-swings in all directions see Section 3.2 Dynamic Stretching ,
page 17. According to Kurz, you should do "as many sets as it takes to reach your maximum
range of motion in any given direction", but do not work your muscles to the point of fatigue.
Remember this is just a warm-up, the real workout comes later.
    Some people are surprised to nd that dynamic stretching has a place in the warm-up.
But think about it: you are "warming up" for a workout that is usually going to involve
a lot of dynamic activity. It makes sense that you should perform some dynamic exercises
to increase your dynamic exibility.
4.1.3 Sport-Speci c Activity
   The last part of your warm-up should be devoted to performing movements that are a
"watered-down"    version of the movements that you will be performing during your athletic
activity. HFLTA says that the last phase of a warm-up should consist of the same movements
that will be used during the athletic event but at a reduced intensity. Such sport-speci c
activity is bene cial because it improves coordination, balance, strength, and response time,
and may reduce the risk of injury.

4.2 Cooling Down
    Stretching is not a legitimate means of cooling down. It is only part of the process.
After you have completed your workout, the best way to reduce muscle fatigue and sore-
ness caused by the production of lactic acid from your maximal or near-maximal muscle
exertion is to perform a light warm-down. This warm-down is similar to the second half of
your warm-up but in the reverse order. The warm-down consists of the following phases:
  1. sport-speci c activity
  2. dynamic stretching
  3. static stretching
    Ideally, you should start your warm-down with about 10-20 minutes of sport-speci c
activity perhaps only a little more intense than in your warm-up. In reality however,
you may not always have 10-20 minutes to spare at the end of your workout. You should,
however, attempt to perform at least 5 minutes of sport-speci c activity in this case. The
sport-speci c activity should immediately be followed by stretching: First perform some
light dynamic stretches until your heart rate slows down to its normal rate, then perform
some static stretches. Sport-speci c activity, followed by stretching, can reduce cramping,
tightening, and soreness in fatigued muscles and will make you feel better.
    According to HFLTA, "light warm-down exercise immediately following maximal exer-
tion is a better way of clearing lactic acid from the blood than complete rest." Furthermore,
if you are still sore the next day, a light warm-up or warm-down is a good way to reduce lin-
gering muscle tightness and soreness even when not performed immediately after a workout.
See Section 4.12 Pain and Discomfort , page 35.
Chapter 4: How to Stretch                                                                  29


4.3 Massage
   Many people are unaware of the bene cial role that massage can play in both strength
training and exibility training. Massaging a muscle, or group of muscles, immediately prior
to performing stretching or strength exercises for those muscles, has some of the following
bene ts:
increased blood ow
            The massaging of the muscles helps to warm-up those muscles, increasing their
            blood ow and improving their circulation.
relaxation of the massaged muscles
            The massaged muscles are more relaxed. This is particularly helpful when you
            are about to stretch those muscles. It can also help relieve painful muscle
            cramps.
removal of metabolic waste
            The massaging action, and the improved circulation and blood ow which re-
            sults, helps to remove waste products, such as lactic acid, from the muscles.
            This is useful for relieving post-exercise soreness.
   Because of these bene ts, you may wish to make massage a regular part of your stretching
program: immediately before each stretch you perform, massage the muscles you are about
to stretch.

4.4 Elements of a Good Stretch
   According to SynerStretch, there are three factors to consider when determining the
e ectiveness of a particular stretching exercise:
 1. isolation
 2. leverage
 3. risk

4.4.1 Isolation
    Ideally, a particular stretch should work only the muscles you are trying to stretch.
Isolating the muscles worked by a given stretch means that you do not have to worry about
having to overcome the resistance o ered by more than one group of muscles. In general,
the fewer muscles you try to stretch at once, the better. For example, you are better o
trying to stretch one hamstring at a time than both hamstrings at once. By isolating the
muscle you are stretching, you experience resistance from fewer muscle groups, which gives
you greater control over the stretch and allows you to more easily change its intensity. As
it turns out, the splits is not one of the best stretching exercises. Not only does it stretch
several di erent muscle groups all at once, it also stretches them in both legs at once.
Chapter 4: How to Stretch                                                                   30


4.4.2 Leverage
   Having leverage during a stretch means having su cient control over how intense the
stretch becomes, and how fast. If you have good leverage, not only are you better able to
achieve the desired intensity of the stretch, but you do not need to apply as much force
to your outstretched limb in order to e ectively increase the intensity of the stretch. This
gives you greater control.
   According to SynerStretch, the best stretches those which are most e ective provide
the greatest mechanical advantage over the stretched muscle. By using good leverage, it
becomes easier to overcome the resistance of in exible muscles the same is true of isolation.
Many stretching exercises good and bad can be made easier and more e ective simply by
adjusting them to provide greater leverage.
4.4.3 Risk
   Although a stretch may be very e ective in terms of providing the athlete with ample
leverage and isolation, the potential risk of injury from performing the stretch must be
taken into consideration. Once again, SynerStretch says it best: Even an exercise o ering
great leverage and great isolation may still be a poor choice to perform. Some exercises
can simply cause too much stress to the joints which may result in injury. They may
involve rotations that strain tendons or ligaments, or put pressure on the disks of the back,
or contain some other twist or turn that may cause injury to seemingly unrelated parts of
the body.

4.5 Some Risky Stretches
   The following stretches many of which are commonly performed are considered risky
M. Alter uses the term `X'-rated due to the fact that they have a very high risk of injury
for the athlete that performs them. This does not mean that these stretches should never
be performed. However, great care should be used when attempting any of these stretches.
Unless you are an advanced athlete or are being coached by a quali ed instructor such as
a certi ed Yoga instructor, physical therapist, or professional trainer, you can probably do
without them or nd alternative stretching exercises to perform. When performed cor-
rectly with the aid of an instructor however, some of these stretches can be quite bene cial.
Each of these stretches is illustrated in detail in the section X-Rated Exercises of M. Alter:
the yoga plough
             In this exercise, you lie down on your back and then try to sweep your legs up
             and over, trying to touch your knees to your ears. This position places excessive
             stress on the lower back, and on the discs of the spine. Not to mention the fact
             that it compresses the lungs and heart, and makes it very di cult to breathe.
             This particular exercise also stretches a region that is frequently exed as a
             result of improper posture. This stretch is a prime example of an exercise that
             is very easy to do incorrectly. However, with proper instruction and attention
             to body position and alignment, this stretch can be performed successfully with
             a minimal amount of risk and can actually improve spinal health and mobility.
Chapter 4: How to Stretch                                                                   31


the traditional backbend
             In this exercise, your back is maximally arched with the soles of your feet and
             the palms of your hands both at on the oor, and your neck tilted back. This
             position squeezes compresses the spinal discs and pinches nerve bers in your
             back.
the traditional hurdler's stretch
             This exercise has you sit on the ground with one leg straight in front of you,
             and with the other leg fully exed bent behind you, as you lean back and
             stretch the quadricep of the exed leg. The two legged version of this stretch is
             even worse for you, and involves fully bending both legs behind you on either
             side. The reason this stretch is harmful is that it stretches the medial ligaments
             of the knee remember, stretching ligaments and tendons is bad and crushes
             the meniscus. It can also result in slipping of the knee cap from being twisted
             and compressed.
straight-legged toe touches
             In this stretch, your legs are straight either together or spread apart and your
             back is bent over while you attempt to touch your toes or the oor. If you
             do not have the ability to support much of your weight with your hands when
             performing this exercise, your knees are likely to hyperextend. This position
             can also place a great deal of pressure on the vertebrae of the lower lumbar.
             Furthermore, if you choose to have your legs spread apart, it places more stress
             on the knees, which can sometimes result in permanent deformity.
torso twists
             Performing sudden, intense twists of the torso, especially with weights, while
             in an upright erect position can tear tissue by exceeding the momentum
             absorbing capacity of the stretched tissues and can strain the ligaments of the
             knee.
inverted stretches
             This is any stretch where you "hang upside down". Staying inverted for too long
             increases your blood pressure and may even rupture blood vessels particularly
             in the eyes. Inverted positions are especially discouraged for anyone with spinal
             problems.

4.6 Duration, Counting, and Repetition
    One thing many people seem to disagree about is how long to hold a passive stretch in
its position. Various sources seem to suggest that they should be held for as little as 10
seconds to as long as a full minute or even several minutes. The truth is that no one really
seems to know for sure. According to HFLTA there exists some controversy over how long
a stretch should be held. Many researchers recommend 30-60 seconds. For the hamstrings,
research suggests that 15 seconds may be su cient, but it is not yet known whether 15
seconds is su cient for any other muscle group.
    A good common ground seems to be about 20 seconds. Children, and people whose
bones are still growing, do not need to hold a passive stretch this long and, in fact, Kurz
Chapter 4: How to Stretch                                                                 32


strongly discourages it. Holding the stretch for about 7-10 seconds should be su cient for
this younger group of people.
    A number of people like to count either out loud or to themselves while they stretch.
While counting during a stretch is not, by itself, particularly important what is important
                                                                       :::

is the setting of a de nite goal for each stretching exercise performed. Counting during a
stretch helps many people achieve this goal.
   Many sources also suggest that passive stretches should be performed in sets of 2-5
repetitions with a 15-30 second rest in between each stretch.


4.7 Breathing During Stretching
    Proper breathing control is important for a successful stretch. Proper breathing helps to
relax the body, increases blood ow throughout the body, and helps to mechanically remove
lactic acid and other by-products of exercise.
   You should be taking slow, relaxed breaths when you stretch, trying to exhale as the
muscle is stretching. Some even recommend increasing the intensity of the stretch only
while exhaling, holding the stretch in its current position at all other times this doesn't
apply to isometric stretching.
   The proper way to breathe is to inhale slowly through the nose, expanding the abdomen
not the chest; hold the breath a moment; then exhale slowly through the nose or mouth.
Inhaling through the nose has several purposes including cleaning the air and insuring
proper temperature and humidity for oxygen transfer into the lungs. The breath should be
natural and the diaphragm and abdomen should remain soft. There should be no force of
the breath. Some experts seem to prefer exhaling through the nose as opposed to through
the mouth saying that exhaling through the mouth causes depression on the heart and
that problems will ensue over the long term.
    The rate of breathing should be controlled through the use of the glottis in the back of
the throat. This produces a very soft "hm-m-m-mn" sound inside the throat as opposed to a
sni ng sound in the nasal sinuses. The exhalation should be controlled in a similar manner,
but if you are exhaling through the mouth, it should be with more of an "ah-h-h-h-h" sound,
like a sigh of relief.
   As you breathe in, the diaphragm presses downward on the internal organs and their
associated blood vessels, squeezing the blood out of them. As you exhale, the abdomen, its
organs and muscles, and their blood vessels ood with new blood. This rhythmic contraction
and expansion of the abdominal blood vessels is partially responsible for the circulation of
blood in the body. Also, the rhythmic pumping action helps to remove waste products
from the muscles in the torso. This pumping action is referred to as the respiratory pump.
The respiratory pump is important during stretching because increased blood ow to the
stretched muscles improves their elasticity, and increases the rate at which lactic acid is
purged from them.
Chapter 4: How to Stretch                                                                  33


4.8 Exercise Order
    Many people are unaware of the fact that the order in which you perform your stretching
exercises is important. Quite often, when we perform a particular stretch, it actually
stretches more than one group of muscles: the muscles that the stretch is primarily intended
for, and other supporting muscles that are also stretched but which do not receive the
"brunt" of the stretch. These supporting muscles usually function as synergists for the
muscles being stretched see Section 1.4 Cooperating Muscle Groups , page 5. This is the
basis behind a principle that SynerStretch calls the interdependency of muscle groups.
    Before performing a stretch intended for a particular muscle, but which actually stretches
several muscles, you should rst stretch each of that muscle's synergists. The bene t of this
is that you are able to better stretch the primary muscles by not allowing the supporting
muscles the opportunity to be a limiting factor in how "good" a stretch you can attain for
a particular exercise.
    Ideally, it is best to perform a stretch that isolates a particular muscle group, but this
is not always possible. According to SynerStretch: "by organizing the exercises within
a stretching routine according to the principle of interdependency of muscle groups, you
minimize the e ort required to perform the routine, and maximize the e ectiveness of
the individual exercises." This is what Health For Life in all of their publications calls
synergism: "combining elements to create a whole that is greater than the mere sum of its
parts."
    For example, a stretch intended primarily for the hamstrings may also make some de-
mands upon the calves and buttocks and even the lower back but mostly, it stretches the
hamstrings. In this case, it would be bene cial to stretch the lower back, buttocks, and
calves rst in that order, using stretches intended primarily for those muscles before they
need to be used in a stretch that is intended primarily for the hamstrings.
    As a general rule, you should usually do the following when putting together a stretching
routine:
     stretch your back upper and lower rst
     stretch your sides after stretching your back
     stretch your buttocks before stretching your groin or your hamstrings
     stretch your calves before stretching your hamstrings
     stretch your shins before stretching your quadriceps if you do shin stretches
     stretch your arms before stretching your chest

4.9 When to Stretch
   The best time to stretch is when your muscles are warmed up. If they are not already
warm before you wish to stretch, then you need to warm them up yourself, usually by per-
forming some type of brief aerobic activity see Section 4.1.1 General Warm-Up , page 26.
Obviously, stretching is an important part of warming-up before see Section 4.1 Warming
Up , page 25, and cooling-down after a workout see Section 4.2 Cooling Down , page 28.
Chapter 4: How to Stretch                                                                   34


If the weather is very cold, or if you are feeling very sti , then you need to take extra care
to warm-up before you stretch in order to reduce the risk of injuring yourself.
    Many of us have our own internal body-clock, or circadian rhythm as, it is more formally
called: Some of us are "early morning people" while others consider themselves to be "late-
nighters". Being aware of your circadian rhythm should help you decide when it is best for
you to stretch or perform any other type of activity. Gummerson says that most people
are more exible in the afternoon than in the morning, peaking from about 2:30pm-4pm.
Also, according to HFLTA, evidence seems to suggest that, during any given day, strength
and exibility are at their peak in the late afternoon or early evening. If this is correct then
it would seem to indicate that, all else being equal, you may be better o performing your
workout right after work rather than before work.

4.9.1 Early-Morning Stretching
   On the other hand, according to Kurz, "if you need or want to perform movements re-
quiring considerable exibility with little or no warm-up, you ought to make early morning
stretching a part of your routine." In order to do this properly, you need to rst perform
a general warm-up see Section 4.1.1 General Warm-Up , page 26. You should then be-
gin your early morning stretching by rst performing some static stretches, followed by
some light dynamic stretches. Basically, your early morning stretching regimen should be
almost identical to a complete warm-up see Section 4.1 Warming Up , page 25. The
only di erence is that you may wish to omit any sport-speci c activity see Section 4.1.3
 Sport-Speci c Activity , page 28, although it may be bene cial to perform it if you have
time.

4.10 Stretching With a Partner
   When done properly, stretches performed with the assistance of a partner can be more
e ective than stretches performed without a partner. This is especially true of isometric
stretches see Section 3.6 Isometric Stretching , page 19 and PNF stretches see Section 3.7
 PNF Stretching , page 20. The problem with using a partner, however, is that the partner
does not feel what you feel, and thus cannot respond as quickly to any discomfort that might
prompt you to immediately reduce the intensity or some other aspect of the stretch. This
can greatly increase your risk of injury while performing a particular exercise.
   If you do choose to stretch with a partner, make sure that it is someone you trust to pay
close attention to you while you stretch, and to act appropriately when you signal that you
are feeling pain or discomfort.

4.11 Stretching to Increase Flexibility
   When stretching for the purpose of increasing overall exibility, a stretching routine
should accomplish, at the very least, two goals:
 1. To train your stretch receptors to become accustomed to greater muscle length see
    Section 1.6.1 Proprioceptors , page 7.
Chapter 4: How to Stretch                                                                  35


 2. To reduce the resistance of connective tissues to muscle elongation see Section 2.2.1
    How Connective Tissue A ects Flexibility , page 13.
   If you are attempting to increase active exibility see Section 2.1 Types of Flexibility ,
page 11, you will also want to strengthen the muscles responsible for holding the stretched
limbs in their extended positions.
   Before composing a particular stretching routine, you must rst decide which types
of exibility you wish to increase see Section 2.1 Types of Flexibility , page 11, and
which stretching methods are best for achieving them see Chapter 3 Types of Stretching ,
page 17. The best way to increase dynamic exibility is by performing dynamic stretches,
supplemented with static stretches. The best way to increase active exibility is by per-
forming active stretches, supplemented with static stretches. The fastest and most e ective
way currently known to increase passive exibility is by performing PNF stretches see
Section 3.7 PNF Stretching , page 20.
   If you are very serious about increasing overall exibility, then I recommend religiously
adhering to the following guidelines:
     Perform early-morning stretching everyday see Section 4.9.1 Early-Morning Stretch-
     ing , page 34.
     Warm-up properly before any and all athletic activities. Make sure to give yourself
     ample time to perform the complete warm-up. See Section 4.1 Warming Up , page 25.
     Cool-down properly after any and all athletic activities. See Section 4.2 Cooling Down ,
     page 28.
     Always make sure your muscles are warmed-up before you stretch!
     Perform PNF stretching every other day, and static stretching on the o days if you
     are overzealous, you can try static stretching every day, in addition to PNF stretching
     every other day.
   Overall, you should expect to increase exibility gradually. However, If you really com-
mit to doing the above, you should according to SynerStretch achieve maximal upper-body
 exibility within one month and maximal lower-body exibility within two months. If you
are older or more in exible than most people, it will take longer than this.
   Don't try to increase exibility too quickly by forcing yourself. Stretch no further than
the muscles will go without pain. See Section 4.12.3 Overstretching , page 37.


4.12 Pain and Discomfort
    If you are experiencing pain or discomfort before, during, or after stretching or athletic
activity, then you need to try to identify the cause. Severe pain particularly in the joints,
ligaments, or tendons usually indicates a serious injury of some sort, and you may need to
discontinue stretching and or exercising until you have su ciently recovered.
Chapter 4: How to Stretch                                                                  36


4.12.1 Common Causes of Muscular Soreness
  If you are experiencing soreness, sti ness, or some other form of muscular pain, then it
may be due to one or more of the following:
torn tissue
           Overstretching and engaging in athletic activities without a proper warm-up
           can cause microscopic tearing of muscle bers or connective tissues. If the tear
           is not too severe, the pain will usually not appear until one or two days after the
           activity that caused the damage. If the pain occurs during or immediately after
           the activity, then it may indicate a more serious tear which may require medical
           attention. If the pain is not too severe, then light, careful static stretching of
           the injured area is supposedly okay to perform see Section 3.5 Static Stretch-
           ing , page 18. It is hypothesized that torn bers heal at a shortened length,
           thus decreasing exibility in the injured muscles. Very light stretching of the
           injured muscles helps reduce loss of exibility resulting from the injury. Intense
           stretching of any kind, however, may only make matters worse.
metabolic accumulation
           Overexertion and or intense muscular activity will fatigue the muscles and cause
           them to accumulate lactic acid and other waste products. If this is the cause of
           your pain, then static stretching see Section 3.5 Static Stretching , page 18,
           isometric stretching see Section 3.6 Isometric Stretching , page 19, or a good
           warm-up see Section 4.1 Warming Up , page 25 or cool-down see Section 4.2
            Cooling Down , page 28 will help alleviate some of the soreness. See Sec-
           tion 2.3.1 Why Bodybuilders Should Stretch , page 14. Massaging the sore
           muscles may also help relieve the pain see Section 4.3 Massage , page 29. It
           has also been claimed that supplements of vitamin C will help alleviate this
           type of pain, but controlled tests using placebos have been unable to lend cred-
           ibility to this hypothesis. The ingestion of sodium bicarbonate baking soda
           before athletic activity has been shown to help increase the body's bu ering
           capacity and reduce the output of lactic acid. However, it can also cause urgent
           diarrhea.
muscle spasms
           Exercising above a certain threshold can cause a decreased ow of blood to the
           active muscles. This can cause pain resulting in a protective re ex which con-
           tracts the muscle isotonically see Section 1.5 Types of Muscle Contractions ,
           page 6. The re ex contraction causes further decreases in blood ow, which
           causes more re ex contractions, and so on, causing the muscle to spasm by re-
           peatedly contracting. One common example of this is a painful muscle cramp.
           Immediate static stretching of the cramped muscle can be helpful in relieving
           this type of pain. However, it can sometimes make things worse by activating
           the stretch re ex see Section 1.6.2 The Stretch Re ex , page 8, which may
           cause further muscle contractions. Massaging the cramped muscle and trying
           to relax it may prove more useful than stretching in relieving this type of pain
           see Section 4.3 Massage , page 29.
Chapter 4: How to Stretch                                                                 37


4.12.2 Stretching with Pain
    If you are already experiencing some type of pain or discomfort before you begin stretch-
ing, then it is very important that you determine the cause of your pain see Section 4.12.1
 Common Causes of Muscular Soreness , page 36. Once you have determined the cause
of the pain, you are in a better position to decide whether or not you should attempt to
stretch the a ected area.
    Also, according to M. Alter, it is important to remember that some amount of soreness
will almost always be experienced by individuals that have not stretched or exercised much
in the last few months this is the price you pay for being inactive. However, well-trained
and conditioned athletes who work-out at elevated levels of intensity or di culty can also
become sore. You should cease exercising immediately if you feel or hear anything tearing
or popping. Remember the acronym RICE when caring for an injured body part. rice
stands for: Rest, Ice, Compression, Elevation. This will help to minimize the pain and
swelling. You should then seek appropriate professional medical advice.

4.12.3 Overstretching
    If you stretch properly, you should not be sore the day after you have stretched. If you
are, then it may be an indication that you are overstretching and that you need to go easier
on your muscles by reducing the intensity of some or all of the stretches you perform.
Overstretching will simply increase the time it takes for you to gain greater exibility. This
is because it takes time for the damaged muscles to repair themselves, and to o er you the
same exibility as before they were injured.
    One of the easiest ways to "overstretch" is to stretch "cold" without any warm-up.
A "maximal cold stretch" is not necessarily a desirable thing. Just because a muscle can
be moved to its limit without warming up doesn't mean it is ready for the strain that a
workout will place on it.
    Obviously, during a stretch even when you stretch properly you are going to feel some
amount of discomfort. The di culty is being able to discern when it is too much. In
her book, Stretch and Strengthen, Judy Alter describes what she calls ouch! pain: If you
feel like saying "ouch!" or perhaps something even more explicit then you should ease
up immediately and discontinue the stretch. You should de nitely feel the tension in your
muscle, and perhaps even light, gradual "pins and needles", but if it becomes sudden, sharp,
or uncomfortable, then you are overdoing it and are probably tearing some muscle tissue
or worse. In some cases, you may follow all of these guidelines when you stretch, feeling
that you are not in any "real" pain, but still be sore the next day. If this is the case,
then you will need to become accustomed to stretching with less discomfort you might be
one of those "stretching masochists" that take great pleasure in the pain that comes from
stretching.
    Quite frequently, the progression of sensations you feel as you reach the extreme ranges
of a stretch are: localized warmth of the stretched muscles, followed by a burning or spasm-
like sensation, followed by sharp pain or "ouch!" pain. The localized warming will usually
occur at the origin, or point of insertion, of the stretched muscles. When you begin to feel
Chapter 4: How to Stretch                                                                    38


this, it is your rst clue that you may need to "back o " and reduce the intensity of the
stretch. If you ignore or do not feel the warming sensation, and you proceed to the point
where you feel a de nite burning sensation in the stretched muscles, then you should ease
up immediately and discontinue the stretch! You may not be sore yet, but you probably will
be the following day. If your stretch gets to the point where you feel sharp pain, it is quite
likely that the stretch has already resulted in tissue damage which may cause immediate
pain and soreness that persists for several days.

4.13 Performing Splits
    A lot of people seem to desire the ability to perform splits. If you are one such person,
you should rst ask yourself why you want to be able to perform the splits. If the answer
is "So I can kick high!" or something along those lines, then being able to "do" the splits
may not be as much help as you think it might be in achieving your goal. Doing a full split
looks impressive, and a lot of people seem to use it as a benchmark of exibility, but it will
not, in and of itself, enable you to kick high. Kicking high requires dynamic exibility and,
to some extent, active exibility whereas the splits requires passive exibility. You need
to discern what type of exibility will help to achieve your goal see Section 2.1 Types of
Flexibility , page 11, and then perform the types of stretching exercises that will help you
achieve that speci c type of exibility. See Chapter 3 Types of Stretching , page 17.
    If your goal really is "to be able to perform splits" or to achieve maximal lower-body
static-passive exibility, and assuming that you already have the required range of motion
in the hip joints to even do the splits most people in reasonably good health without any
hip problems do, you will need to be patient. Everyone is built di erently and so the
amount of time it will take to achieve splits will be di erent for di erent people although
SynerStretch suggests that it should take about two months of regular PNF stretching for
most people to achieve their maximum split potential. The amount of time it takes will
depend on your previous exibility and body makeup. Anyone will see improvements in
  exibility within weeks with consistent, frequent, and proper stretching. Trust your own
body, take it gently, and stretch often. Try not to dwell on the splits, concentrate more on
the stretch. Also, physiological di erences in body mechanics may not allow you to be very
  exible. If so, take that into consideration when working out.
    A stretching routine tailored to the purpose of achieving the ability to perform splits
may be found at the end of this document. See Appendix B Working Toward the Splits ,
page 49.

4.13.1 Common Problems When Performing Splits
   First of all, there are two kinds of splits: front and side the side split is often called a
chinese split. In a Front split, you have one leg stretched out to the front and the other
leg stretched out to the back. In a side split, both legs are stretched out to your side.
   A common problem encountered during a side split is pain in the hip joints. Usually, the
reason for this is that the split is being performed improperly you may need to tilt your
pelvis forward.
Chapter 4: How to Stretch                                                                 39


   Another common problem encountered during splits both front and side is pain in the
knees. This pain can often but not always be alleviated by performing a slightly di erent
variation of the split. See Section 4.13.2 The Front Split , page 39. See Section 4.13.3 The
Side Split , page 39.

4.13.2 The Front Split
    For front splits, the front leg should be straight and its kneecap should be facing the
ceiling, or sky. The front foot can be pointed or exed there will be a greater stretch in
the front hamstring if the front foot is exed. The kneecap of the back leg should either
be facing the oor which puts more of a stretch on the quadriceps and psoas muscles, or
out to the side which puts more of a stretch on the inner-thigh groin muscles. If it is
facing the oor, then it will probably be pretty hard to ex the back foot, since its instep
should be on the oor. If the back kneecap is facing the side, then your back foot should
be stretched out not exed with its toes pointed to reduce undue stress upon the knee.
Even with the toes of the back foot pointed, you may still feel that there is to much stress
on your back knee in which case you should make it face the oor.

4.13.3 The Side Split
   For side splits, you can either have both kneecaps and insteps facing the ceiling, which
puts more of a stretch on the hamstrings, or you can have both kneecaps and insteps
face the front, which puts more of a stretch on the inner-thigh groin muscle. The latter
position puts more stress on the knee joints and may cause pain in the knees for some
people. If you perform side splits with both kneecaps and insteps facing the front then
you must be sure to tilt your pelvis forward push your buttocks to the rear or you may
experience pain in your hip joints.

4.13.4 Split-Stretching Machines
   Many of you may have seen an advertisement for a split-stretching machine in your
favorite exercise athletic magazine. These machines look like "benches with wings". They
have a padded section upon which to sit, and two padded sections in which to place your
legs the machine should ensure that no pressure is applied upon the knees. The machine
functions by allowing you to gradually increase the "stretch" in your adductors inner-thigh
muscles through manual adjustments which increase the degree of the angle between the
legs. Such machines usually carry a hefty price tag, often in excess of $100 American
currency.
   A common question people ask about these machines is "are they worth the price?".
The answer to that question is entirely subjective. Although the machine can certainly
be of valuable assistance in helping you achieve the goal of performing a side-split, it is
not necessarily any better or safer than using a partner while you stretch. The main
advantage that these machines have over using a partner is that they give you not your
partner control of the intensity of the stretch. The amount of control provided depends on
the individual machine.
Chapter 4: How to Stretch                                                                  40


    One problem with these "split-stretchers" is that there is a common tendency to use
them to "force" a split which can often result in injury and or to hold the "split" position
for far longer periods of time than is advisable.
    The most e ective use of a split-stretching machine is to use it as your "partner" to
provide resistance for PNF stretches for the groin and inner thigh areas see Section 3.7
 PNF Stretching , page 20. When used properly, "split-stretchers" can provide one of the
best ways to stretch your groin and inner-thighs without the use of a partner.
    However, they do cost quite a bit of money and they don't necessarily give you a better
stretch than a partner could. If you don't want to "cough-up" the money for one of these
machines, I recommend that you either use a partner and or perform the lying `V' stretch
described later on in this document see Appendix B Working Toward the Splits , page 49.
Appendix A: References on Stretching                                                    41


Appendix A References on Stretching
   I don't know if these are all good, but I am aware of the following books and videotapes
about stretching:

Stretch and Strengthen, by Judy Alter
  Softcover, Houghton Mi in Company Publishers 1986, 241 pages
  $12.95 US, ISBN: 0-395-52808-9
     also by Judy Alter: Surviving Exercise,
      Softcover, Houghton Mi in 1983, 127 pages, ISBN: 0-395-50073-7
Sport Stretch, by Michael J. Alter
  Softcover, Leisure Press Publisher 1990, 168 pages
  $15.95 US, ISBN: 0-88011-381-2
    Leisure Press is a division of Human Kinetics Publishers, Inc.
    in Champaign, IL and may be reached by phone at 1-800-747-4457
Science of Stretching, by Michael J. Alter
  Clothcover, Leisure Press Publisher 1988, 256 pages
  $35.00 US, ISBN: 0-97322-090-0
Stretching, by Bob Anderson Illustrated by Jean Anderson
  Softcover, Random House Publisher $9.95 US, ISBN: 0-394-73874-8
Stretching For All Sports, by John E. Beaulieu
  Athletic Press 1980, Pasadena, CA
Stretching Without Pain, by W. Paul Blakey
  Softcover, Bibliotek Books Publishers 1994, 78 pages
  $14.99 US, ISBN: 1 896238 00 9
The Muscle Book, by W. Paul Blakey
 Softcover, Bibliotek Books Publishers 1992, 48 pages
 $10.99 US, ISBN: 1 873017 00 6
Health & Fitness Excellence: The Scienti c Action Plan,
  by Robert K. Cooper, Ph.D.
  Softcover, Houghton Mi in Company Publishers 1989, 541 pages
  $12.95 US, ISBN 0-395-54453-X
Stretching for Athletics, by Pat Croce 2nd edition
  Softcover, Leisure Press Publisher 1984, 128 pages
  $11.95 US, ISBN: 0-88011-119-4
ExTension: The 20-minutes-a-day, Yoga-Based Program to Relax, Release,
         and Rejuvenate the Average Stressed-Out over-35-year-old body,
  by Sam Dworkis with Peg Moline
  Softcover, Poseidon Press Publisher 1994, 192 pages
Appendix A: References on Stretching                                       42


  $20 US, ISBN: 0-671-86680-X
Jean Frenette's Complete Guide to Stretching, by Jean Frenette
  Softcover, $10.95 US, ISBN: 0-86568-145-7
    also by Jean Frenette, Beyond Kicking: A Complete Guide to
     Kicking and Stretching, $12.95 US, ISBN: 0-86568-154-6
Mobility Training for the Martial Arts, by Tony Gummerson
 Softcover, A&C Black Publishers 1990, 96 pages
 $15.95 US, ISBN: 0 7136 3264 X
SynerStretch For Total Body Flexibility, from Health For Life
  Softcover, 1984, 29 pages, $11.95 US, ISBN: 0-944831-05-2
    A videotape which is an updated version of this same course
     is also available for $39.95 US
    HFL can be reached by phone at 1-800-874-5339
Staying Supple: The Bountiful Pleasures of Stretching, by John Jerome
  Softcover, Bantam Books 1987, 151 pages
  ISBN: 0-553-34429-3
Light on Yoga, by B. K. S. Iyengar
  NY Schocken Books 1979, 544 pages
  $18 US, ISBN: 0-8052-1031-8
Light on Pranayama, by B. K. S. Iyengar
  Crossroad Publishers 1985, 200 pages
  ISBN: 0-8245-0686-3
Ultimate Fitness through Martial Arts, by Sang H. Kim
    chapter 8 pages 147-192 is devoted to exibility
  Softcover, Turtle Press Publishers 1993, 266 pages
  $16.95 US, ISBN: 1-880336-02-2
  This book and other items may be ordered from Turtle Press by calling
   1-800-77-TURTL in the United States
Stretching Scienti cally : a Guide to Flexibility Training, by Tom Kurz
  3rd edition, completely revised
  Softcover, Stadion Publisher 1994, 147 pages
  $18.95 US, ISBN: 0-940149-30-3
     also by Tom Kurz: Science of Sports Training,
      $26.95-Softcover, $39.95-Hardcover
     A Videotape entitled Tom Kurz' Secrets of Stretching
      is also available from Stadion for $49.95 US.
     Stadion can be reached by phone at 1-800-873-7117
Beyond Splits Volume I and Volume II, by Marco Lala
  Videotapes available from Marco Lala Karate Academy,
Appendix A: References on Stretching                                                     43


  P.O. Box 979, Yonkers, NY USA 10704
  the tapes are $39.95 each Vol.I and Vol.II are separate tapes
Facilitated Stretching: PNF Stretching Made Easy, by Robert E. McAtee
  Softcover, Human Kinetics Publishers 1993, 96 pages
  $16.00 US, ISBN: 0-87322-420-5
The Woman's Stretching Book, by Susan L. Peterson
 Softcover, Leisure Press Publisher 1983, 112 pages
 $11.95 US, ISBN: 0-88011-095-3
The Health For Life Training Advisor, edited by Andrew T. Shields
 Softcover, Health for Life 1990, 320 pages
 $29.95 US, ISBN: 0-944831-22-2
Yoga the Iyengar Way, by Silva, Mira and Shyam Mehta
  Knopf Publishers
  $20 US, ISBN: 0-679-72287-4.
Stretch!, by Ann Smith
  Acropolis Books 1979
The Book About Stretching, by Dr. Sven-A Solveborn, M.D.
 Japan Publications, 1985
Stretching the Quick and Easy Way, by Sternad & Bozdech
  Softcover, $9.95 US, ISBN: 0-8069-8434-1
Complete Stretching, by Maxine Tobias and John Patrick Sullivan
  Softcover, Knopf Publisher, $17.95 US, ISBN: 0-679-73831-2
    also by Maxine Tobias: Stretch and Relax


A.1 Recommendations
    My best recommendations are for Sport Stretch and Stretching Scienti cally, followed by
Health & Fitness Excellence, SynerStretch, or Stretch and Strengthen. Mobility Training
for the Martial Arts also has quite a bit of valuable information and stretches. The Health
for Life Training Advisor has a lot of information about stretching and muscle physiology,
but it is not strictly about stretching and contains a ton of other information about all
aspects of athletic training and performance which I nd to be invaluable. If you don't
want to get into too much technical detail and are looking for a quick but informative read,
then I recommend Stretching Without Pain. If you really want to delve into all the technical
aspects of stretching, including physiology, neurophysiology, and functional anatomy, then
you must get Science of Stretching. If you want to know more about PNF stretching, then
Facilitated Stretching is the book to get. If you are looking for yoga or active stretches
you simply must take a look at ExTension also your local library probably has quite a
Appendix A: References on Stretching                                                         44


few books and or videotapes of yoga exercises. If you want to know more about muscle
anatomy and physiology but don't have a lot of technical interest or background in those
two elds, The Muscle Book is highly recommended.
   Many of the other books don't have as much detail about stretching and what happens
to your muscles during a particular stretch, they just present and illustrate a variety of
di erent exercises. Also, most of the stretches presented in these books are to be performed
alone. Sport Stretch, SynerStretch both the videotape and the book, and Mobility Train-
ing for the Martial Arts present stretches that you can perform with the assistance of a
partner.
   In general, Health For Life also known as HFL and Human Kinetics Publishers have a
tremendously wide variety of technical, no-nonsense, exercise related books and videotapes.
I would highly recommend contacting both organizations and asking for their free catalogs:

      Human Kinetics Publishers
      1607 North Market Street
      P.O. Box 5076
      Champaign, IL USA 61825-5076
      1-800-747-4457 US
      1-800-465-7301 Canada
      Health For Life
      8033 Sunset Blvd., Suite 483
      Los Angeles, CA USA 90046
      1-800-874-5339


A.2 Additional Comments
   Here is a little more information about some of the references I haven't actually read
or seen all of them so I can't comment on all of them:
Sport Stretch
             This book has a very thorough section on all the details about how stretching
             works and what di erent stretching methods to use. It also contains over 300
             illustrated stretches as well as various stretching programs for 26 di erent sports
             and recreational activities. Each stretching program takes about 20 minutes and
             illustrates the 12 best stretches for that activity. In my humble opinion, this is
             the most complete book I was able to nd on the subject of stretching however,
             Science of Stretching, by the same author, is even more comprehensive. Some
             of you may prefer Kurz' book to this one, however, since it is more devoted to
             increasing exibility.
Science of Stretching
             This book explains the scienti c basis of stretching and discusses physiology,
             neurophysiology, mechanics, and psychology as they all relate to stretching.
             The book makes thorough use of illustrations, charts, diagrams, and gures,
Appendix A: References on Stretching                                                           45


             and discusses each of its topics in great detail. It then presents guidelines for
             developing a exibility program, including over 200 stretching exercises and
             warm-up drills. I suppose you could think of this book as a "graduate-level
             version" of Sport Stretch.
Stretching Scienti cally
             This is an excellent book that goes into excruciating detail on just about every-
             thing you want to know about stretching. It also contains a variety of stretches
             and stretching programs and is geared towards achieving maximal exibility in
             the shortest possible amount of time. The only problem I found in this book
             is that some of the discussion gets very technical without giving the reader
             in my opinion su cient background to fully understand what is being said.
             I believe that Sport Stretch does a better job of explaining things in a more
             comprehensible easily understood fashion.
Facilitated Stretching
             Most of the reading material that is devoted to PNF stretching is highly tech-
             nical. This book attempts to break that trend. It tries to explain the history
             and principles of PNF without getting too technical, and shows how to perform
             PNF techniques that are appropriate for healthy people complete with illustra-
             tions and easy-to-follow instructions. This book also contains a chapter which
             discusses the role of PNF techniques during injury rehabilitation. According to
             the publisher:
                    The stretches in Facilitated Stretching are known as CRAC
                    contract-relax, antagonist-contract stretches. CRAC stretches
                    are the safest PNF stretches because there is no passive move-
                    ment the athlete performs all of the stretching. Facilitated
                    Stretching contains 29 CRAC stretches, which address most of the
                    major muscle groups: 18 are single-muscle stretches, and 11 use
                    the spiral-diagonal patterns that are the heart of PNF stretching.
                    Once readers have learned these stretching techniques, they will be
                    able to design additional stretches for almost any muscle or muscle
                    group. The book also features many self-stretching techniques that
                    athletes can use to maintain their gains in range of motion.
SynerStretch
             This is a "course" from HFL which claims that you can achieve "total body
               exibility in just 8 minutes a day." It explains and presents two excellent stretch-
             ing routines: one for increasing exibility and one for maintaining exibility. It
             was the only work that I found which discusses the importance of performing
             certain stretches in a particular order. It is important to note that there is a
             signi cant di erence between the printed and videotape versions of this course
             aside from price: The printed version has a much more thorough discussion
             of theory, exercise selection, and exercise order; whereas the stretching routines
             presented in the videotape are better explained, and more "up to date".
Stretch and Strengthen
             This is very good, but the author makes a few mistakes in some places in
             particular, she seems to equate the stretch re ex, reciprocal inhibition, and PNF
Appendix A: References on Stretching                                                       46


           with one another. The book is devoted to static stretching and to performing
           strengthening exercises of the muscles stretched. Each exercise explains what to
           do, what not to do, and why. There is also a separate section for diagnosing and
           correcting some problems that you may encounter during a particular stretch.
Health & Fitness Excellence
           Simply put, this is one of the best books available on overall health and tness.
           It has two chapters devoted to exibility training that explain and provide
           several static and PNF stretches although it refers to the PNF stretches as
           tighten-relax stretches. This is not a "fad" book! It uses sound, proven, sci-
           enti c principles and research explained in simple terms to present programs
           for: reducing stress, strength and exibility training, nutritional wellness, body
           fat control, postural vitality, rejuvenation and living environments design, and
           mind and life unity. I highly recommend this book.
ExTension This is a fantastic book of yoga exercises. Each exercise is very well explained
           along with instructions on what to do if you don't seem to feel the stretch, or
           think you are feeling it in the wrong place. It is chock-full of useful information
           and is very well written.
Stretching Without Pain
           The author, W. Paul Blakey, is a practicing Osteopath, and former interna-
           tional ballet dancer. The book is very similar in format and content to this
           document, only it has well over a hundred illustrations, and also covers some
           additional material not found in this document such as mental and emotional
           aspects to stretching and "stretching warzones". It is one of the best quick,
           easy, and up-to-date stretching introductions that you will nd. I can't think
           of any other book that is under a hundred pages that covers as much as this
           book does including isometric and PNF stretches. For more information
           about this book, contact Twin Eagles Educational and Healing Institute at
           `http: www.sunshine.net www 0 sn0016'. You can also reach the author
           by e-mail at `TEEHI@sunshine.net'.
The Muscle Book
           The author, Paul Blakey, is a practicing Osteopath, and former international
           ballet dancer. He has written and illustrated this book to help everyone who
           needs to know more about their own muscles, and how to look after them. The
           book clearly identi es the major surface muscles of the human body, and shows
           how they work. For each muscle there is straightforward information about
             rst aid by massage, and an indication of particular dangers to watch for. All
           students of physique, and in particular dancers and gymnasts should nd this
           book useful. For more information about this book, contact Twin Eagles Edu-
           cational and Healing Institute at `http: www.sunshine.net www 0 sn0016'.
           You can also reach the author by e-mail at `TEEHI@sunshine.net'.
Mobility Training for the Martial Arts
           This book is also quite good and quite comprehensive, but not as good in my
           personal opinion as Sport Stretch or Stretching Scienti cally.
Appendix A: References on Stretching                                                         47


Staying Supple
           This book is a little old but is wonderfully written although it could be orga-
           nized a bit better. It contains information at just about every level of detail
           about stretching, increasing and maintaining suppleness, and preventing the
           loss of suppleness. There is also a glossary of terms and concepts near the end
           of the book.
Stretching A lot of people like this one. It presents a wide variety of stretches and stretching
           routines and does a good job of explaining each one. It does not go into too
           much detail about stretching other than just to present the various stretches
           and routines.
Appendix A: References on Stretching   48
Appendix B: Working Toward the Splits                                                       49


Appendix B Working Toward the Splits
   The following stretching routine is tailored speci cally to the purpose of achieving the
ability to perform both front splits and side splits. It consists of the following exercises:
 1. lower back stretches
 2. lying buttock stretch
 3. groin & inner-thigh stretch
 4. seated calf stretch
 5. seated hamstring stretch
 6. seated inner-thigh stretch
 7. psoas stretch
 8. quadricep stretch
 9. lying `V' stretch
   Don't forget to warm-up your body before performing any of these exercises. See Sec-
tion 4.1.1 General Warm-Up , page 26.
   Warning: This stretching routine contains exercises that, depending on your physical
condition, may be hazardous to your health. Consult with your doctor before attempting
any of these exercises. It is also important that you use great caution when performing
these exercises since improper performance could result in injury.
   Perform these stretches at your own risk! I cannot be held responsible for any injury
which may result from you performing any of these exercises! See Disclaimer , page 1.
   The details on how to perform each of the stretches are discussed in the following sections.
Each section describes how to perform a passive stretch, and an isometric stretch, for
a particular muscle group. On a given day, you should either perform only the passive
stretches, or perform only the PNF stretches, in the order given see Chapter 3 Types of
Stretching , page 17. If you perform the PNF stretches, don't forget to rest 20 seconds after
each PNF stretch, and don't perform the same PNF stretch more than once per day see
Section 3.7 PNF Stretching , page 20. The isometric stretches described do not require
the assistance of a partner, but you may certainly use a partner if you so desire. The order
in which these exercises are performed is important because the entire routine attempts to
employ the principle of synergism by stretching a muscle fully before using that muscle as
a "supporting muscle" in another stretch see Section 4.8 Exercise Order , page 33.
   As with all stretches, you should not stretch to the point of intense pain! A tolerable
amount of discomfort should be more than su cient. You do not want to pull or tear
your muscles, or be very sore the next day.

B.1 lower back stretches
   These stretches work mostly the lower back, but also make some demands on your
abdominals, and your external obliques sides.
Appendix B: Working Toward the Splits                                                       50


   Lying down with your back on the oor, straighten one leg, while bending the knee of
the other leg, and try to bring the thigh of your bent leg as close as possible to your chest.
Hold it there for 10-15 seconds. Then cross your bent leg over your straight leg and try to
touch your knee to the oor while trying to keep both shoulders on the ground. Repeat
this same procedure with the other leg. Then, bend both knees and bring both thighs up
against your chest keeping your back on the oor. Hold that for 10-15 seconds. Then,
put both feet on the ground but keep the knees bent. While trying to keep both shoulders
on the ground, roll your legs over to one side and try to get your knees to touch the oor
beside you. Hold for about 10-15 seconds and then do the same thing on the other side.
Now repeat the same stretch, but this time begin with your feet o the oor so that your
leg is bent at the knee at about a 90 degree angle.
   As for isometric stretches for the back, I don't recommend them.



B.2 lying buttock stretch
    This mainly stretches your buttocks gluteal muscles but also makes some demands on
your groin and upper inner-thigh area. You must be very careful not to apply any stress to
the knee joint when performing this stretch. Otherwise, serious injury such as the tearing
of cartilage may occur.
    Lie on your back again with both knees bent and in the air and with your feet on the
 oor. Take your right foot in your left hand with your hand wrapping under your foot so
that the ngertips are on its outside edge and hold your leg with your knee bent in the
air about 1-3 feet above your left breast relax, we haven't started to stretch the buttocks
just yet. The leg you are holding should be in much the same position as it is when you
start your groin stretch in the next exercise, only now it is in the air because you are on
your back see Section B.3 groin and inner-thigh stretch , page 51. Exhale and slowly pull
your foot over to the side and up toward your head as if you were trying to touch your
outstretched leg about 12 inches to the outside of your left shoulder. You should feel a good
stretch in your buttocks about now. If you feel any stress at all on your knee then stop
at once. You are probably pulling "up" too much and not enough to the side. You may
wish to use your free hand to support your knee in some way. Hold this stretch for about
20 seconds and stop if you feel any stress in the knee joint. Now repeat this same stretch
with the other leg using the other hand. Remember that the leg you are not holding
should have the sole of its foot on the oor with the knee bent and in the air.
    To make an isometric stretch out of this, when you are performing the passive stretch
above and feel the stretch in your buttocks, continue trying to pull your foot to the outside
of your shoulder while at the same time resisting with your leg so that it pushes agains your
hand. No actual leg motion should take place, just the resistance. Stop immediately if you
feel any undue stress to your knee.
Appendix B: Working Toward the Splits                                                      51


B.3 groin and inner-thigh stretch
   This mainly stretches your groin and upper inner-thigh area, but also makes some de-
mands on your lower back. It is often called the butter y stretch or frog stretch because of
the shape that your legs make when you perform it.
   Sit down with your back straight up don't slouch, you may want to put your back
against a wall and bend your legs, putting the soles of your feet together. Try to get your
heels as close to your groin as is comfortably possible. Now that you are in the proper
position, you are ready to stretch. For the passive stretch, push your knees to the oor
as far as you can you may use your hands to assist but do not resist with the knees and
then hold them there. This can be hard on the knees so please be careful. Once you have
attained this position, keep your knees where they are, and then exhale as you bend over,
trying to get your chest as close to the oor as possible. Hold this stretch for about 20
seconds.
   The isometric stretch is almost identical to the passive stretch, but before you bend
over, place your hands on your ankles and your elbows in the crooks of your knees. As you
bend over, use your elbows to "force" your knees closer to the oor while at the same time
pushing "up" away from the oor with your thighs to resist against your arms. Once
again, please be careful since this can place considerable strain on the knees.

B.4 seated leg stretches
   These include three di erent stretches performed for the calves, hamstrings, and inner-
thighs, but they are all performed in very similar positions and I do all three stretches in
the order given for one leg before performing them for the other leg. You will need an
apparatus for this stretch: a bench, or a rm bed or couch or you could use two chairs
with your butt on one chair and the heel of your foot on the other that is at least 12 inches
o the ground but not so high that you can't sit on it with out your knees bent and the
sole of your foot solidly on the oor. The bench should be long enough to accommodate
the full length of your leg. Sit on the bench and have your leg comfortably extended out in
front of you your heel should still be on the bench and the other leg hanging out to the
side with the leg bent and the foot at on the ground.

B.4.1 seated calf stretch
   With your leg extended directly in front of you, face your leg and bend it slightly. Place
your hands around the ball of your foot and gently pull back so that you force yourself to
 ex your foot as much as possible. Hold this stretch for about 20 seconds don't forget to
breathe.
   Now for the isometric stretch: in this same position, use your hands to try and force the
ball and toes of your foot even further back toward you while at the same time using your
calf muscles to try and straighten your foot and leg. You should be resisting enough with
your hands so that no actual foot or leg motion takes place.
Appendix B: Working Toward the Splits                                                      52


B.4.2 seated hamstring stretch
   Now that our calf is stretched, we can get a more e ective hamstring stretch since
in exibility in the calf can be a limiting factor in this hamstring stretch. Still sitting on
the bench in the same position, straighten your leg out while trying to hold onto your
outstretched leg with both hands on either side as close as possible to your heel. Starting
up with your back straight, slowly exhale and try to bring your chest to the knee of your
outstretched leg. You should feel a "hefty" stretch in your hamstring and even a considerable
stretch in your calf even though you just stretched it. Hold this stretch for about 20
seconds.
   Now for the isometric stretch: when you have gotten your chest as close as you can to
your knee, try and put both hands under the bench by your heel or both hands on opposite
sides of your heel. Now grab on tight with your hands and try to physically push your
heel keeping your leg straight downward "through" the bench, the bench will provide the
necessary resistance, and should prevent any leg motion from occurring.

B.4.3 seated inner-thigh stretch
   You should still be sitting on the bench with your outstretched leg in front of you.
Now turn on the bench so that your leg is outstretched to your side, and you are facing
the leg that is bent. You may perform this next stretch with either your toe pointing up
toward the ceiling or with the inside edge of your foot at on the bench with your toe
pointing forward but exed, or you may try this stretch both ways since you will stretch
some slightly di erent but many of the same muscles either way. I prefer to keep my toe
pointed towards the ceiling because I personally feel that the other way applies to much
stress to my knee, but you can do whatever feels comfortable to you.
   Note: If you are using two chairs instead of a bench, the rst thing you need to do is
to make sure that one of the chairs supports your outstretched leg somewhere between the
knee and the hip. If the support is being provided below the knee and you try to perform
this stretch, there is a good chance that you will injure ligaments and or cartilage.
   Place your hands underneath the bench directly under you or you may keep one hand
under the portion of the bench that is below the knee of your outstretched leg and pull
yourself down and forward keeping your back straight as if you were trying to touch your
chest to the oor. You should be able to feel the stretch in your inner-thigh. Hold this for
about 20 seconds.
   For the isometric stretch, do the same thing you did with the hamstring stretch: keep
both hands underneath you as before and try to force your foot downward "through" the
bench.

B.5 psoas stretch
   This stretch is sometimes called the runner's start because the position you are in resem-
bles that of a sprinter at the starting block. It mainly stretches the psoas muscle located
just above the top of the thigh.
Appendix B: Working Toward the Splits                                                     53


    Crouch down on the oor with both hands and knees on the ground. Put one leg forward
with your foot on the oor so that your front leg is bent at the knee at about a 90 degree
angle. Now extend your rear leg in back of you so that it is almost completely straight
with just an ever so slight bend and so that the weight of your rear leg is on the ball of
your rear foot with the foot in a forced arch position. Now we are in the position to stretch
notice that your rear leg should be in pretty much the same position that it would assume
if you were performing a front split.
    Keeping your back straight and in line with your rear thigh, exhale and slowly try to
bring your chest down to the oor you shouldn't need to bend much further than the line
your front knee is on. You should feel the stretch primarily in the upper thigh of your rear
leg but you should also feel some stretch in your front hamstring as well. Hold this position
for at least 15 seconds. If you wish to also stretch your rear quadricep from this position,
you can shift your weight back so that your rear leg makes a right angle with your knee
pointing toward the oor but don't let it touch the oor. Now, without bending your rear
leg any further, try to force your rear knee straight down to the oor.
    Now repeat the same stretches with your other leg in front.
    For an isometric stretch, you can do this same stretch in front of a wall and instead of
putting your hands on the oor, put them in front of you against the wall and then push
against the wall with the ball of your foot without decreasing the "stretch" in your psoas.

B.6 quadricep stretch
   For this stretch you will need one or two pillows or soft cushions to place between your
knee and the oor. You must be very careful when performing this stretch because it can
be hard on the knees. Please be advised to take it easy and not overdo while performing
this exercise. If you have problems with your knees, you may be better o not performing
this stretch at all.
   Put the pillow under your rear knee and let your knee rest on the oor. Lift up your
rear foot and grab onto your foot with the opposite hand grab the instep if possible, but if
you can only reach the heel, that is okay. If you have trouble grabbing your foot, then you
may need to sit or shift back onto your rear leg so that you can grab it, and then shift
forward into the starting position with your hand now holding your foot. Now, exhale and
very gently, but steadily, pull your foot toward its buttock butt-cheek and lean toward
your front foot you may also wish to twist your waist and trunk towards the foot you are
holding. You should feel a tremendous stretch in the quadricep top right thigh of the foot
that you are pulling. If you begin to feel stress in your knee, then discontinue the exercise
but let your foot down slowly not all at once. Hold this stretch for about 15 seconds.
When you are nished, shift your weight slowly back onto your rear leg and let your foot
down while you are still holding onto it. Do not just let go and let your foot snap back to
the ground this is bad for your knee.
   Now for the isometric stretch: Get into the same position as for the passive quadricep
stretch, but as you lean forward and pull on your foot, resist with the leg you are holding
Appendix B: Working Toward the Splits                                                      54


by trying to push your instep back down to the ground and out of the grip of your hand
but no actual movement should take place.
   Now do the same stretch with your other leg in front.
   Stop the stretch immediately if you feel pain or discomfort in your knee.

B.7 lying `V' stretch
    This stretch is very good for working toward a side chinese split see Section 4.13.3
 The Side Split , page 39. This exercise should be performed after you have stretched each
of these areas individually with prior stretches like the ones mentioned above.
    Start by lying down with your back at on the ground and your legs straight together
in the air at a 90 degree angle. Try to have your legs turned out so that your knees are
facing the side walls more than they are facing your head. Slowly bring your legs down to
the sides, keeping your legs straight and turned out. When you reach the point where you
cannot bring them down any further into this "lying" side split position, leave them there.
    Now for the stretch: With your feet both exed or both pointed your choice use your
arms to reach in and grab your legs. Each arm should grab the leg on the same side. Try to
get a hold of the leg between the ankle and the knee right at the beginning portion of the
calf that is closest to the ankle is almost perfect. Now, exhale and use your arms to gently
but steadily force your legs down further and wider keeping the legs straight getting closer
to the lying side-split position where, ideally, your kneecaps would be "kissing" the oor.
Hold this position and keep applying steady pressure with your arms for about 20 seconds.
    For the isometric stretch, you do the same thing as the passive stretch except that, as
you use your arms to force your legs wider, use your inner and outer thigh muscles to try
and force your legs back up together and straight like a scissors closing, but apply enough
resistance with your arms so that no motion takes place this can be tough since your legs
are usually stronger than your arms. You may nd that you get a much better stretch if
you use a partner rather than your own arms to apply the necessary resistance.
Appendix C: Normal Ranges of Joint Motion                                              55


Appendix C Normal Ranges of Joint Motion
   According to Kurz, the following tables indicates the normal ranges of joint motion for
various parts of the body:

C.1 Neck
Flexion: 70-90 degrees
            Touch sternum with chin.
Extension: 55 degrees
            Try to point up with chin.
Lateral bending: 35 degrees
            Bring ear close to shoulder.
Rotation: 70 degrees left & right
            Turn head to the left, then right.

C.2 Lumbar Spine
Flexion: 75 degrees
            Bend forward at the waist.
Extension: 30 degrees
            Bend backward.
Lateral bending: 35 degrees
            Bend to the side.

C.3 Shoulder
Abduction: 180 degrees
            Bring arm up sideways.
Adduction: 45 degrees
            Bring arm toward the midline of the body.
Horizontal extension: 45 degrees
            Swing arm horizontally backward.
Horizontal exion: 130 degrees
            Swing arm horizontally forward.
Vertical extension: 60 degrees
            Raise arm straight backward.
Vertical exion: 180 degrees
            Raise arm straight forward.
Appendix C: Normal Ranges of Joint Motion                      56


C.4 Elbow
Flexion: 150 degrees
            Bring lower arm to the biceps
Extension: 180 degrees
            Straighten out lower arm.
Supination: 90 degrees
            Turn lower arm so palm of hand faces up.
Pronation: 90 degrees
            Turn lower arm so palm faces down.

C.5 Wrist
Flexion: 80-90 degrees
            Bend wrist so palm nears lower arm.
Extension: 70 degrees
            Bend wrist in opposite direction.
Radial deviation: 20 degrees
            Bend wrist so thumb nears radius.
Ulnar deviation: 30-50 degrees
            Bend wrist so pinky nger nears ulna.

C.6 Hip
Flexion: 110-130 degrees
            Flex knee and bring thigh close to abdomen.
Extension: 30 degrees
            Move thigh backward without moving the pelvis.
Abduction: 45-50 degrees
            Swing thigh away from midline.
Adduction: 20-30 degrees
            Bring thigh toward and across midline.
Internal rotation: 40 degrees
            Flex knee and swing lower leg away from midline.
External rotation: 45 degrees
            Flex knee and swing lower leg toward midline.
Appendix C: Normal Ranges of Joint Motion              57


C.7 Knee
Flexion: 130 degrees
            Touch calf to hamstring.
Extension: 15 degrees
            Straighten out knee as much as possible.
Internal rotation: 10 degrees
            Twist lower leg toward midline.

C.8 Ankle
Flexion: 45 degrees
            Bend ankle so toes point up.
Extension: 20 degrees
            Bend ankle so toes point down.
Pronation: 30 degrees
            Turn foot so the sole faces in.
Supination: 20 degrees
            Turn foot so the sole faces out.
Appendix C: Normal Ranges of Joint Motion   58
Index                                                                                                                                           59


Index
A                                                          D
actin...........................................     3     di erent types of exibility                 ....................                        11
active exibility...............................     11     di erent types of stretching                ....................                        17
active stretching
                ...............................     18     duration of a stretch          ...........................                              31
aerobic activity
               ................................     26     Dworkis, Sam      .................................                                     41
agonists........................................     5     dynamic exibility          .............................                                11
Alter, Judy....................................     41     dynamic PNF stretching                 .......................                          21
Alter, Michael J.............................    2, 41     dynamic stretching          ............................                                17
Anderson, Bob  ................................     41     dynamic warm-up stretching                    ...................                       28
ankle, range of motion of                           57
                                                           E
                            ......................

antagonists.....................................     5
autogenic inhibition.............................    9     early-morning stretching              .......................                           34
                                                           eccentric contraction                                                                    6
B
                                                                                          ............................

                                                           elastic connective tissue            .........................                           5
ballistic PNF stretching                              21   elastin..........................................                                        5
                                                           elbow, range of motion of                                                               56
                           ........................

ballistic stretching                                  17                                           ......................

                                                           endomysium                                                                               5
                  .............................

Beaulieu, John E.                                     41                  .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

                                                           epimysium                                                                                5
                  ..............................

bene ts of stretching..........................       25               .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


Blakey, W. Paul ...............................       41   extrafusal muscle bers               .........................                           7
books on stretching                                   41
butter y stretch
                   ............................

                ...............................       51   F
                                                           fascia...........................................                                        5
C                                                          fascial sheaths of muscle
                                                           fascicles
                                                                                                 ........................

                                                                    ........................................
                                                                                                                                                    5
                                                                                                                                                    3
chinese split
            ...................................  38        fasciculi........................................                                        3
circadian rhythms .............................  34        fast-twitch bers       ................................                                  4
clasped-knife re ex.............................  9          xators.........................................                                        5
collagen........................................  5          exibility
                                                                     ......................................                                        11
collagenous connective tissue                     5
                                ....................
                                                             exibility, factors a ecting             .....................                         12
common stretching mistakes                       25
                               ...................
                                                             exibility, limiting factors            ......................                         12
concentric contraction..........................  6        Frenette, Jean     .................................                                    42
connective tissue................................ 5        frog stretch ....................................                                       51
contract-relax, PNF stretching technique         21
                                            .......
                                                           front split.....................................                                        38
contract-relax-antagonist-contract, PNF stretching
     technique.................................

contract-relax-bounce, PNF stretching technique
                                                 21        G
                                                 21        general warm-up        ...............................                             26
                                                           golgi tendon organ                                                                  7
    ...........................................

contract-relax-contract, PNF stretching technique                                     ..............................


                                                 21        groin and inner-thigh stretch                  ...................                 51
                                                           Gummerson, Tony                                                                 2, 42
    ...........................................

contract-relax-swing, PNF stretching technique                                        ..........................


                                                 21
    ...........................................

contractile proteins
                   .............................  3        H
cooling down ..................................  28        Health for Life                            2, 42
                                                                               ..............................

Cooper, Robert K.  ............................. 41        HFL                                        2, 42
                                                                ........................................

counting during stretching                       32
                             .....................         hip, range of motion of                       56
                                                                                               ........................

CRAC, PNF stretching technique                   21
                                     ..............        hold-relax, PNF stretching technique          21              ...........

Croce, Pat.....................................  41        hold-relax-bounce, PNF stretching technique 21                                ...
Index                                                                                                              60


hold-relax-contract, PNF stretching technique 21 ..         muscle spindle ..................................       7
hold-relax-swing, PNF stretching technique    21
                                               ....         musculoskeletal system    .........................     3
                                                            myo laments                                             3
I
                                                                          ...................................

                                                            myofybrils ......................................       3
innervate .......................................       9   myosin .........................................        3
interdependency of muscle groups     ..............    33   myotatic re ex ..................................       8
intrafusal muscle bers                                  7
inverse myotatic re ex
                           .........................

                          ..........................    9   N
isolation o ered by a stretch   ...................    29   neck, range of motion of   .......................     55
isometric agonist contraction relaxation   ........    21   neuromuscular junction    .........................     3
isometric antagonist contraction    ...............    21   neutralizers.....................................       5
isometric contraction    ...........................    6   nuclear bag bers    ...............................     8
isometric stretching   ............................    19   nuclear chain bers    .............................     8
isotonic contraction                                    6
                                                            P
                       .............................

Iyengar, B. K. S.   ..............................     42
                                                            pacinian corpuscles                                     7
J                                                           passive exibility
                                                                                  .............................

                                                                                ..............................     11
Jerome, John  ..................................       42   passive stretching  ..............................     18
joint rotations   .................................    26   perimysium  .....................................       5
joints...........................................       3   Peterson, Susan L.   .............................     43
                                                            plyometrics                                             8
K
                                                                        .....................................

                                                            PNF stretching  ................................       20
Kim, Sang H.  ..................................    42      post-isometric relaxation techniques    ............   20
kinetic exibility   ............................... 11      prime movers  ...................................       5
knee, range of motion of    ....................... 57      proprioception ..................................       7
Kurz, Tom  ..................................    2, 42      proprioceptive neuromuscular facilitation    .......   20
                                                            proprioceptors                                          7
L
                                                                           ..................................

                                                            psoas stretch ..................................       52
Lala, Marco  ...................................

lengthening reaction    ............................
                                                       42
                                                        9   Q
leverage o ered by a stretch    ...................    30   quadricep stretch   ..............................     53
ligaments                                               3
          .......................................

limiting factors of exibility  ....................    12   R
lower back stretches   ...........................     49   ranges of joint motion  .........................      55
lumbar spine, range of motion of    ...............    55   reciprocal inhibition  ............................     9
lying buttock stretch   ..........................     50   reciprocal innervation  ...........................     9
lying `V' stretch  ................................    54   references on stretching  ........................     41
                                                            relaxed stretching                                     18
M
                                                                                ..............................

                                                            relaxed warm-up stretching    ....................     27
McAtee, Robert E.     ............................     43   repetitions of a stretch .........................     32
mechanoreceptors     ...............................    7   respiratory pump    ..............................     32
Mehta, Shyam      .................................    43   risk of injury from a stretch   ....................   30
metabolic accumulation     ........................    36   runner's start..................................       52
Mira                                                   43
     ..........................................

mitochondria  ...................................       4   S
mobility .......................................       12   sarcomeres ......................................       3
mobility, factors a ecting   ......................    12   seated calf stretch .............................      51
mucopolysaccharide     .............................    5   seated hamstring stretch   .......................     52
muscle bers  ....................................       3   seated inner-thigh stretch   ......................    52
muscle spasms     .................................    36   seated leg stretches  ............................     51
Index                                                                                                          61


Shields, Andrew T.............................      43   synergism    .....................................    33
shoulder, range of motion of
                           ...................      55   synergists   .......................................   5
side split                                          38
                                                         T
        ......................................

Silva
    ..........................................      43
slow-twitch bers...............................      4   tendons .........................................      3
Smith, Ann ....................................     43   Tobias, Maxine    ................................    43
Solveborn, Sven-A.............................      43   torn tissue  .....................................    36
split-stretching machines
                        .......................     39   Type 1 muscle bers     ............................    4
sport-speci c activity
                    ..........................      28   Type 2A muscle bers      ..........................    4
stabilizers
         ......................................      5   Type 2B muscle bers      ..........................    4
static stretching
               ...............................      18   types of exibility   .............................    11
static warm-up stretching......................     27   types of stretching  .............................    17
static-active exibility
                     .........................      11
static-active stretching
                      .........................

static-passive exibility
                      ........................
                                                    18
                                                    11   V
static-passive stretching
                       ........................     18   videotapes on stretching    .......................   41
Sternad & Bozdech                                   43
stretch receptors
                  ............................

                ................................     7   W
stretch re ex
            ...................................      8   warm-up stretching    ............................    27
stretch re ex, dynamic component   ..............    8   warming down     .................................    28
stretch re ex, static component.................     8   warming up     ...................................    25
Sullivan, John Patrick
                     .........................      43   wrist, range of motion of   .......................   56
Index   62
                                                                                                                             i


Table of Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
        Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
        Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
        About the Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
1 Physiology of Stretching . . . . . . . . . . . . . . . . . . . 3
        1.1 The Musculoskeletal System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
        1.2 Muscle Composition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
              1.2.1 How Muscles Contract . . . . . . . . . . . . . . . . . . . . . . . . . . 3
              1.2.2 Fast and Slow Muscle Fibers . . . . . . . . . . . . . . . . . . . . 4
        1.3 Connective Tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
        1.4 Cooperating Muscle Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
        1.5 Types of Muscle Contractions . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
        1.6 What Happens When You Stretch . . . . . . . . . . . . . . . . . . . . . . . . 7
              1.6.1 Proprioceptors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
              1.6.2 The Stretch Re ex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
                     1.6.2.1 Components of the Stretch Re ex . . . . . . . 8
              1.6.3 The Lengthening Reaction . . . . . . . . . . . . . . . . . . . . . . . 9
              1.6.4 Reciprocal Inhibition . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2 Flexibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
        2.1 Types of Flexibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            11
        2.2 Factors Limiting Flexibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                    12
              2.2.1 How Connective Tissue A ects Flexibility . . . . . . .                                            13
              2.2.2 How Aging A ects Flexibility . . . . . . . . . . . . . . . . . . .                                13
        2.3 Strength and Flexibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                  14
              2.3.1 Why Bodybuilders Should Stretch . . . . . . . . . . . . . .                                       14
              2.3.2 Why Contortionists Should Strengthen . . . . . . . . . .                                          15
        2.4 Over exibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        15
3 Types of Stretching . . . . . . . . . . . . . . . . . . . . . . . 17
        3.1 Ballistic Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            17
        3.2 Dynamic Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                17
        3.3 Active Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .           18
        3.4 Passive Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            18
        3.5 Static Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .           18
        3.6 Isometric Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .              19
               3.6.1 How Isometric Stretching Works . . . . . . . . . . . . . . . .                                   20
        3.7 PNF Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .            20
               3.7.1 How PNF Stretching Works . . . . . . . . . . . . . . . . . . . .                                 22
                                                                                                                      ii
4 How to Stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
       4.1 Warming Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
             4.1.1 General Warm-Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
                     4.1.1.1 Joint Rotations . . . . . . . . . . . . . . . . . . . . . . . 26
                     4.1.1.2 Aerobic Activity . . . . . . . . . . . . . . . . . . . . . . 26
             4.1.2 Warm-Up Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
                     4.1.2.1 Static Warm-Up Stretching . . . . . . . . . . . . 27
                     4.1.2.2 Dynamic Warm-Up Stretching . . . . . . . . . 28
             4.1.3 Sport-Speci c Activity . . . . . . . . . . . . . . . . . . . . . . . . . 28
       4.2 Cooling Down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
       4.3 Massage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
       4.4 Elements of a Good Stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
             4.4.1 Isolation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
             4.4.2 Leverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
             4.4.3 Risk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
       4.5 Some Risky Stretches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
       4.6 Duration, Counting, and Repetition . . . . . . . . . . . . . . . . . . . . . 31
       4.7 Breathing During Stretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
       4.8 Exercise Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
       4.9 When to Stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
             4.9.1 Early-Morning Stretching . . . . . . . . . . . . . . . . . . . . . . 34
       4.10 Stretching With a Partner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
       4.11 Stretching to Increase Flexibility . . . . . . . . . . . . . . . . . . . . . . . 34
       4.12 Pain and Discomfort . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
             4.12.1 Common Causes of Muscular Soreness . . . . . . . . . 36
             4.12.2 Stretching with Pain . . . . . . . . . . . . . . . . . . . . . . . . . . 37
             4.12.3 Overstretching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
       4.13 Performing Splits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
             4.13.1 Common Problems When Performing Splits . . . . 38
             4.13.2 The Front Split . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
             4.13.3 The Side Split . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
             4.13.4 Split-Stretching Machines . . . . . . . . . . . . . . . . . . . . . 39
Appendix A References on Stretching . . . . . . . 41
       A.1 Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
       A.2 Additional Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Appendix B Working Toward the Splits . . . . . . 49
       B.1 lower back stretches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        49
       B.2 lying buttock stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         50
       B.3 groin and inner-thigh stretch . . . . . . . . . . . . . . . . . . . . . . . . . . .                 51
       B.4 seated leg stretches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        51
             B.4.1 seated calf stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . . .               51
             B.4.2 seated hamstring stretch . . . . . . . . . . . . . . . . . . . . . . .                      52
             B.4.3 seated inner-thigh stretch . . . . . . . . . . . . . . . . . . . . . .                      52
       B.5 psoas stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   52
       B.6 quadricep stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       53
       B.7 lying `V' stretch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   54
                                                                                                                                iii
Appendix C Normal Ranges of Joint Motion
        ........................................                                                                       55
        C.1    Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    55
        C.2    Lumbar Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .              55
        C.3    Shoulder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .        55
        C.4    Elbow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       56
        C.5    Wrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     56
        C.6    Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   56
        C.7    Knee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      57
        C.8    Ankle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     57
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
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